Acute ST-elevation myocardial infarction (STEMI) in a young woman with unknown mitral stenosis and atrial fibrillation: Case report

Chronic rheumatic heart disease is the most common cause of mitral stenosis. It remains a major public health problem. In almost half of the cases, paroxysmal or chronic atrial fibrillation occurs during the evolution of mitral stenosis, thereby exposing to an increased risk of thrombo-embolic event...

Full description

Saved in:
Bibliographic Details
Published in:Annals of medicine and surgery 2022-03, Vol.75, p.103465, Article 103465
Main Authors: Faraj, Raid, Djibril, Ahmed, Benmessaoud, Fatima-Azzahra, Benasser, Mohamed, Zarzur, Jamila, Oukerraj, Latifa, Amri, Rachida, Cherti, Mohamed
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Case Report
Embolism
MINOCA
Mitral stenosis
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Chronic rheumatic heart disease is the most common cause of mitral stenosis. It remains a major public health problem. In almost half of the cases, paroxysmal or chronic atrial fibrillation occurs during the evolution of mitral stenosis, thereby exposing to an increased risk of thrombo-embolic events. Whereas the most frequent site for embolism is the cerebral circulation, any organ may be involved, especially the coronary circulation, resulting in a myocardial infarction (MI). Here, we report a rare case of a 50-year-old patient, with no risk factors for cardiovascular disease, presenting an acute ST-elevation myocardial infarction (STEMI) as initial presentation of unknown mitral stenosis with atrial fibrillation and strongly suggesting an embolic origin. The diagnosis was made based on the national cerebral and cardiovascular center (NCVC) criteria for the clinical diagnosis of coronary artery embolism (CE). Coronary angiography showed a distal thrombus in the right coronary artery that has been medically treated. The outcome was favorable and the patient was referred after that for mitral valve replacement. •Coronary embolism (CE) is an uncommon and rare cause of acute coronary syndrome (ACS).•Atrial fibrillation represents the most common cause of CE, followed by cardiomyopathy and valvular heart disease.•Long term outcomes of STEMI patients related to CE are worst compared to STEMI patients non related to CE.
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2022.103465