Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism

The acronym MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) refers to myocardial infarction with normal or near-normal coronary arteries on invasive angiography. The broad spectrum of pathological mechanisms responsible for myocardial injury in MINOCA makes defining the exact u...

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Autores principales: Scabbia, Francesca, Zerbini, Michela, Pirani, Lucia, Righi, Riccardo, Viola, Monica, Collevecchio, Ada, Rizzati, Roberto, Sassone, Biagio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology. 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976720/
https://www.ncbi.nlm.nih.gov/pubmed/36873233
http://dx.doi.org/10.1259/bjrcr.20220114
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author Scabbia, Francesca
Zerbini, Michela
Pirani, Lucia
Righi, Riccardo
Viola, Monica
Collevecchio, Ada
Rizzati, Roberto
Sassone, Biagio
author_facet Scabbia, Francesca
Zerbini, Michela
Pirani, Lucia
Righi, Riccardo
Viola, Monica
Collevecchio, Ada
Rizzati, Roberto
Sassone, Biagio
author_sort Scabbia, Francesca
collection PubMed
description The acronym MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) refers to myocardial infarction with normal or near-normal coronary arteries on invasive angiography. The broad spectrum of pathological mechanisms responsible for myocardial injury in MINOCA makes defining the exact underlying etiology challenging. We report the uncommon case of an acute myocardial infarction with normal coronary arteries suggestive of MINOCA caused by paradoxical coronary embolism due to a wide right-to-left shunting through a patent fossa ovalis. Integrated multimodality imaging diagnostic work-up, including cardiac magnetic resonance, transesophageal contrast echocardiography, and transcranial contrast Doppler, has been crucial for identifying the most likely mechanism underlying MINOCA.
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spelling pubmed-99767202023-03-02 Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism Scabbia, Francesca Zerbini, Michela Pirani, Lucia Righi, Riccardo Viola, Monica Collevecchio, Ada Rizzati, Roberto Sassone, Biagio BJR Case Rep Case Report The acronym MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) refers to myocardial infarction with normal or near-normal coronary arteries on invasive angiography. The broad spectrum of pathological mechanisms responsible for myocardial injury in MINOCA makes defining the exact underlying etiology challenging. We report the uncommon case of an acute myocardial infarction with normal coronary arteries suggestive of MINOCA caused by paradoxical coronary embolism due to a wide right-to-left shunting through a patent fossa ovalis. Integrated multimodality imaging diagnostic work-up, including cardiac magnetic resonance, transesophageal contrast echocardiography, and transcranial contrast Doppler, has been crucial for identifying the most likely mechanism underlying MINOCA. The British Institute of Radiology. 2023-02-07 /pmc/articles/PMC9976720/ /pubmed/36873233 http://dx.doi.org/10.1259/bjrcr.20220114 Text en © 2022 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Scabbia, Francesca
Zerbini, Michela
Pirani, Lucia
Righi, Riccardo
Viola, Monica
Collevecchio, Ada
Rizzati, Roberto
Sassone, Biagio
Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title_full Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title_fullStr Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title_full_unstemmed Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title_short Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism
title_sort role of cardiac magnetic resonance in minoca of unclear etiology: a case report of a suspicious paradoxical coronary embolism
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976720/
https://www.ncbi.nlm.nih.gov/pubmed/36873233
http://dx.doi.org/10.1259/bjrcr.20220114
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