Role of cardiac magnetic resonance in MINOCA of unclear etiology: a case report of a suspicious paradoxical coronary embolism-Reference-Cited by-同舟云学术

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

Published:2023-01 Issue:1 Volume:9 Page:
ISSN:2055-7159
Container-title:BJR|case reports
language:en
Short-container-title:BJR|case reports

Author:

Scabbia Francesca¹,Zerbini Michela²,Pirani Lucia³,Righi Riccardo²,Viola Monica²,Collevecchio Ada⁴,Rizzati Roberto²,Sassone Biagio³⁴⁵^ORCID

Affiliation:

1. Department of Morphology, Section of Diagnostic Imaging, Surgery and Experimental Medicine, University of Ferrara, via Savonarola 9, 44121, Ferrara, Italy

2. Department of Radiology, Azienda Unità Sanitaria Locale di Ferrara, via Arturo Cassoli 30, 44121, Ferrara, Italy

3. Department of Emergency, Division of Cardiology, Delta Hospital, Azienda Unità Sanitaria Locale di Ferrara, via Valle Oppio 2, 44023, Lagosanto, Ferrara, Italy

4. Department of Emergency, Division of Cardiology, SS.ma Annunziata Hospital, Azienda Unità Sanitaria Locale di Ferrara, via Giovanni Vicini 2, 44042, Cento, Ferrara, Italy

5. Department of Translational Medicine, University of Ferrara, via Savonarola 9, 44121, Ferrara, Italy

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Link

https://www.birpublications.org/doi/pdf/10.1259/bjrcr.20220114

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