Coronary embolism due to caseous mitral annular calcification

This is the case of an 84-year-old woman with a past medical history of ST-segment elevation myocardial infarction (STEMI) due to thrombotic occlusion of the right coronary artery treated at a different center with a bare-metal stent. The transthoracic echocardiography and thoracic computed tomograp...

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Autores principales:	Pablo Vidal, Pedro L. Cepas-Guillén, Eduardo Flores-Umanzor, María Mimbrero, José Ramírez Ruz, Manel Sabaté
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/431972ba8fcd45f1ae8357bc3a5dc1a7
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spelling	oai:doaj.org-article:431972ba8fcd45f1ae8357bc3a5dc1a72021-11-08T09:05:50ZCoronary embolism due to caseous mitral annular calcification10.24875/RECICE.M210002192604-7322https://doaj.org/article/431972ba8fcd45f1ae8357bc3a5dc1a72021-11-01T00:00:00Zhttps://recintervcardiol.org/en/index.php?option=com_content&view=article&id=673https://doaj.org/toc/2604-7322This is the case of an 84-year-old woman with a past medical history of ST-segment elevation myocardial infarction (STEMI) due to thrombotic occlusion of the right coronary artery treated at a different center with a bare-metal stent. The transthoracic echocardiography and thoracic computed tomography scan performed showed a rounded calcified mass at the posterior portion of the mitral annulus that induced mild mitral regurgitation (figure 1A, black arrow). Figure 1. A month later the patient was admitted to our center with recurrent inferior STEMI with total occlusion of the right coronary artery (figure 1B). We performed mechanical thrombus aspiration—that resulted in postprocedural TIMI flow grade 3—and obtained a white fibrous substance (figure 1C). We thought the occluding substance was not just a thrombus but rather a caseous degenerative material from the posterior mitral mass. Therefore, we decided to send it to the pathology laboratory. The pathological examination of the material showed thrombosis and microcalcifications of caseous appearance (figure 1D, red arrow). Therefore, the current STEMI was possibly associated with a coronary embolism due to caseous calcification of the mitral valve (CCMA). CCMA is a rare evolution of a calcified mitral annulus due to the caseous transformation of the inner material. It is often an...Pablo VidalPedro L. Cepas-GuillénEduardo Flores-UmanzorMaría MimbreroJosé Ramírez RuzManel SabatéPermanyerarticleMedicineRENESREC: Interventional Cardiology (English Ed.), Vol 3, Iss 4, Pp 330-331 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Medicine R
spellingShingle	Medicine R Pablo Vidal Pedro L. Cepas-Guillén Eduardo Flores-Umanzor María Mimbrero José Ramírez Ruz Manel Sabaté Coronary embolism due to caseous mitral annular calcification
description	This is the case of an 84-year-old woman with a past medical history of ST-segment elevation myocardial infarction (STEMI) due to thrombotic occlusion of the right coronary artery treated at a different center with a bare-metal stent. The transthoracic echocardiography and thoracic computed tomography scan performed showed a rounded calcified mass at the posterior portion of the mitral annulus that induced mild mitral regurgitation (figure 1A, black arrow). Figure 1. A month later the patient was admitted to our center with recurrent inferior STEMI with total occlusion of the right coronary artery (figure 1B). We performed mechanical thrombus aspiration—that resulted in postprocedural TIMI flow grade 3—and obtained a white fibrous substance (figure 1C). We thought the occluding substance was not just a thrombus but rather a caseous degenerative material from the posterior mitral mass. Therefore, we decided to send it to the pathology laboratory. The pathological examination of the material showed thrombosis and microcalcifications of caseous appearance (figure 1D, red arrow). Therefore, the current STEMI was possibly associated with a coronary embolism due to caseous calcification of the mitral valve (CCMA). CCMA is a rare evolution of a calcified mitral annulus due to the caseous transformation of the inner material. It is often an...
format	article
author	Pablo Vidal Pedro L. Cepas-Guillén Eduardo Flores-Umanzor María Mimbrero José Ramírez Ruz Manel Sabaté
author_facet	Pablo Vidal Pedro L. Cepas-Guillén Eduardo Flores-Umanzor María Mimbrero José Ramírez Ruz Manel Sabaté
author_sort	Pablo Vidal
title	Coronary embolism due to caseous mitral annular calcification
title_short	Coronary embolism due to caseous mitral annular calcification
title_full	Coronary embolism due to caseous mitral annular calcification
title_fullStr	Coronary embolism due to caseous mitral annular calcification
title_full_unstemmed	Coronary embolism due to caseous mitral annular calcification
title_sort	coronary embolism due to caseous mitral annular calcification
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/431972ba8fcd45f1ae8357bc3a5dc1a7
work_keys_str_mv	AT pablovidal coronaryembolismduetocaseousmitralannularcalcification AT pedrolcepasguillen coronaryembolismduetocaseousmitralannularcalcification AT eduardofloresumanzor coronaryembolismduetocaseousmitralannularcalcification AT mariamimbrero coronaryembolismduetocaseousmitralannularcalcification AT joseramirezruz coronaryembolismduetocaseousmitralannularcalcification AT manelsabate coronaryembolismduetocaseousmitralannularcalcification
_version_	1718442706438455296

Coronary embolism due to caseous mitral annular calcification

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