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Journals
Romanian Journal of Cardiology
Volume 31 (2021): Issue 1 (March 2021)
Open Access
A rare cause of acute ST-elevation myocardial infarction: a case of coronary embolism secondary to calcified bicuspid aortic valve
Anda Bularga
Anda Bularga
,
Andrew R Chapman
Andrew R Chapman
,
John Hung
John Hung
,
Nicholas L. Mills
Nicholas L. Mills
and
Marc R. Dweck
Marc R. Dweck
| Apr 30, 2022
Romanian Journal of Cardiology
Volume 31 (2021): Issue 1 (March 2021)
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Article Category:
Case Presentation
Published Online:
Apr 30, 2022
Page range:
116 - 121
DOI:
https://doi.org/10.47803/rjc.2021.31.1.116
Keywords
myocardial infarction
,
coronary angiography
,
aortic valve stenosis
© 2021 Anda Bularga et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1
Echocardiogram image (A) and computed tomography image (B) showing severe calcific disease of the native bicuspid aortic valve. Scan were performed one month prior to the acute admission.
Figure 2
Electrocardiogram performed following coronary angiogram and embolus aspiration showing Q waves and residual ST segment elevation in the anteroseptal leads with inverted T waves in the lateral leads.
Figure 3
Coronary angiogram images showing abrupt occlusion of the left anterior coronary anterior (A) and flow restoration following embolus aspiration (B).
Figure 4
Cardiac MRI long-axis views showing near transmural late gadolinium enhancement in the mid anteroseptum extending to the apex.