A rare cause of MINOCA : Embolism of a thrombus arising from accessory mitral valve tissue

Chan, En Ze and Kang, Giap Swee and Amelia Goh, Xin Chun (2025) A rare cause of MINOCA : Embolism of a thrombus arising from accessory mitral valve tissue. European Heart Journal Case Report. pp. 1-4. ISSN 2514-2119

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Abstract

A 51-year-old lady with underlying hypertension presented with angina. Electrocardiogram showed no ischemic changes, but the highly sensitive Troponin I was 203.3ng/L (reference range≤26.2ng/L). Transthoracic echocardiogram demonstrated a left ventricular ejection fraction of 65% with no regional wall motion abnormality but suspicion of posterior mitral valve (MV) leaflet mass with trivial mitral regurgitation with no evidence of valve stenosis. (Panel A, supplementary material online, video S1). Coronary angiogram demonstrated 20% stenosis at the distal left anterior descending artery.

Item Type: Article
Uncontrolled Keywords: Electrocardiogram, trivial mitral regurgitation, cardiovascular magnetic resonance (CMR).
Subjects: R Medicine > R Medicine (General)
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Faculties, Institutes, Centres > Faculty of Medicine and Health Sciences
Depositing User: En Ze
Date Deposited: 06 May 2025 23:45
Last Modified: 06 May 2025 23:45
URI: http://ir.unimas.my/id/eprint/48168

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