1. Acute myocardial infarction due to left main embolization of calcified tissue from mitral valve subapparatus
- Author
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Victor Alfonso Jimenez Diaz, Antonio Castro, Jose Antonio Baz Alonso, Saleta Fernández Barbeira, Jorge Alberto Vitela Rodríguez, Andrés Íñiguez Romo, Etelberto Hernandez, and Deborah Chantada de la Fuente
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Mitral valve ,Angioplasty ,Medicine ,030212 general & internal medicine ,Myocardial infarction ,Embolization ,cardiovascular diseases ,Thrombus ,business.industry ,Cardiogenic shock ,medicine.disease ,Atheroma ,medicine.anatomical_structure ,Cardiology ,cardiovascular system ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Artery - Abstract
An 81-year-old woman was referred for primary angioplasty due to a myocardial infarction. Upon her arrival, the patient was in cardiogenic shock. Coronarography revealed a large filling defect within the left main coronary artery. Thromboaspiration was performed, obtaining thrombotic material and tissue of different consistencies. Balloon angioplasty in the left anterior descending and left main arteries was performed, resulting in incomplete reperfusion, leading to irreversible electromechanical dissociation. Analysis of the aspirated material was consistent with thrombus, atheroma, and calcified tissue. Autopsy revealed a heavily calcified mitral valve, and distal embolization of amorphous material in the microvasculature identical to that found in the mitral valve subapparatus. .
- Published
- 2017