Mitral Stenosis, LV Aneurysm, Myocardial Bridge, and Myocardial Infarction: The Mystery Demystified

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An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
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An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat

Published on: May 19, 2020

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Amit Kumar Chaurasia1, Sivadasanpillai Harikrishnan1, Valaparambil Kumar Ajith1

  • 1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

International Cardiovascular Research Journal
|April 24, 2014
PubMed

Insights

Rare causes of myocardial infarction (MI) in young adults include coronary embolisation, spontaneous coronary artery dissection, and myocardial bridges. This case highlights a 19-year-old with MI, mitral stenosis, myocardial bridge, and healed coronary dissection.

Area of Science:

  • Cardiology
  • Vascular Biology
  • Internal Medicine

Background:

  • Myocardial Infarction (MI) in young individuals is uncommon.
  • Known rare etiologies include coronary embolisation, spontaneous coronary artery dissection (SCAD), and myocardial bridging.
  • Investigating underlying causes is crucial for appropriate management.

Observation:

  • A 19-year-old male presented with symptoms of myocardial infarction.
  • Clinical investigations revealed the presence of mitral stenosis.
  • Cardiac imaging identified a myocardial bridge and angiographic evidence of healed coronary dissection.

Findings:

  • The patient experienced myocardial infarction at a young age.
  • Multiple cardiovascular abnormalities were identified, including mitral stenosis, myocardial bridge, and healed coronary dissection.
  • The combination of these findings suggests a complex etiology for the MI.

Implications:

  • This case underscores the importance of considering rare causes of MI in the youth.
  • Early diagnosis and management of underlying conditions like SCAD and myocardial bridges are vital.
  • Further research into the pathogenesis of MI in young adults with congenital or acquired vascular anomalies is warranted.

Keywords:
EmbolismMitral StenosisSpontaneous Coronary Dissection

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