Coronary embolism due to possible thrombosis of prosthetic aortic valve - the role of optical coherence tomography: case report.

ABSTRACT:

Background

Coronary embolism is an important non-atherosclerotic cause of acute myocardial infarction (AMI) that requires an individualized diagnostic and therapeutic approach. Although certain angiographic criteria exist that render an embolic origin likely, uncertainty remains. Optical coherence tomography (OCT) is a high-resolution intracoronary imaging technology that enables visualization of thrombus and the underlying coronary vessel wall, which may be helpful to distinguish between an atherosclerotic and non-atherosclerotic origin of AMI.

Case summary

A 50-year-old male was admitted with ongoing chest pain. Eleven years ago, he underwent implantation of a mechanical aortic valve prosthesis due to degenerated bicuspid valve with normal coronaries on preoperative angiog

SUBMITTER: Kavaliauskaite R 

PROVIDER: S-EPMC8343470 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature