Right coronary ostium occlusion by aortic valve tumor during systole
Wataru Igarashi1, Takuya Wada1, Daichi Takagi1
1Department of Cardiovascular Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Insights
A rare case of acute myocardial infarction was caused by an aortic valve tumor. Electrocardiography-gated four-dimensional computed tomography is useful for diagnosing coronary artery obstruction from cardiac masses.
Area of Science:
- Cardiology
- Radiology
- Pathology
Background:
- Acute myocardial infarction (AMI) can have various causes.
- Aortic valve tumors are rare and can lead to significant cardiac events.
- Diagnosing the source of angina in patients without obvious coronary artery disease requires advanced imaging.
Abstract:
Here, we present a case of acute myocardial infarction caused by an aortic valve tumor. Electrocardiography (ECG)-gated four-dimensional computed tomography revealed obstruction of the right coronary ostium by a mobile mass during systole. To ensure an accurate diagnosis of angina in patients without significant coronary artery disease, ECG-gated four-dimensional computed tomography is useful because it can simultaneously visualize the coronary ostium and arteries, aortic valve leaflets, and mass.
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