Multimodality imaging for assessment of coronary embolus.
Caseous mitral annulus calcification involving aortomitral curtain is a rare occurrence. We report a case of a 64-year-old woman with end-stage renal failure and a candidate for renal transplant who presented with late ST-elevation myocardial infarction. Intracoronary imaging, computed tomography cardiac imaging, and histopathology confirmed coronary embolus into the left main stem artery from an extensive caseous mitral annulus calcification.
Department of Internal Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada.
Ayyaz
A
Sultan
Division of Radiology, University of Western Ontario, London, Ontario, Canada.
Aashish
A
Goela
Division of Pathology, University of Western Ontario, London, Ontario, Canada.
Edward
E
Tweedie
Department of Internal Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada.
Kokab
K
Awan
Department of Internal Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada. Electronic address: shahar.lavi@lhsc.on.ca.
Shahar
S
Lavi
D000925:Anticoagulants / Q000627:therapeutic use; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D004617:Embolism / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D064847:Multimodal Imaging / Q000379:methods; D009203:Myocardial Infarction / Q000150:complications*; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D036542:Tomography, Spiral Computed / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods; D061205:Vascular Calcification / Q000150:complications; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin