Open AccessAortic regurgitation as a risk factor for coronary embolization from complex atheromatous aortic plaques: A clinical case
Author(s) -
Vito Maurizio Parato,
Alfredo Cardinali,
Michele Scarano
Publication year - 2019
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_72_18
Subject(s) - medicine , cardiology , regurgitation (circulation) , aortic arch , thrombus , embolism , myocardial infarction , embolization , radiology , aorta
Patients with mobile aortic arch atheroma and severe aortic regurgitation may be at higher risk of systemic embolism. We report the case of a 68-year-old male patient with complex aortic arch plaque with superimposed thrombus, in which an acute inferior ST-elevation myocardial infarction occurred. In the reported case, coronary embolism may have been caused by flaked aortic plaque and/or superimposed thrombus, which was possibly carried by aortic regurgitation flow. It is a very rare mechanism by which a coronary embolism is possible from an aortic complex plaque.