Mitral stenosis and acute ST elevation myocardial infarction
Joseph Cardoz1, K Jayaprakash1, Raju George1
1Department of Cardiology, Government Medical College, Kottayam, Kerala, India.
Insights
A patient experienced acute myocardial infarction due to severe mitral stenosis and thrombus. The condition led to thromboembolic material in the coronary artery, necessitating mitral valve replacement.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Acute myocardial infarction (inferior wall ST elevation) can be caused by complex cardiac conditions.
- Severe mitral stenosis is a significant risk factor for intracardiac thrombus formation.
- Intracardiac thrombi can lead to systemic thromboembolic events, including coronary artery embolism.
Abstract:
We describe a patient who presented with acute (inferior wall) ST elevation myocardial infarction. Her echocardiogram showed severe mitral stenosis with ball valve thrombus in the left atrial body and thrombus in the left atrial appendage. Coronary angiogram revealed thromboembolic material in the right coronary artery. Mitral valve replacement was scheduled.
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