Background: Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a syndrome with different causes, characterized by clinical evidence of myocardial infarction with normal or near-normal coronary arteries on angiography.
Case Presentation: Here we describe an interesting case of a 29 year old male known to have bioprosthetic aortic valve replacement who presented with chest pain suggestive of the acute coronary syndrome, with rising troponin levels but having a normal coronary angiography and a cardiac magnetic resonance imaging showing evidence of myocardial infarction thus suggestive of MINOCA.
Conclusion: This case illustrates the increasing clinical role of cardiac magnetic resonance imaging in modern cardiology and its ability to detect a final diagnosis in patients with MINOCA and also raise the possibility of recurrent embolic phenomena to the epicardial vessels from bioprosthetic valves, which might be challenging to prove.
[http://dx.doi.org/10.1016/S0735-1097(99)00126-6] [PMID: 10334456]
[http://dx.doi.org/10.1161/CIRCULATIONAHA.114.011201] [PMID: 25587100]
[http://dx.doi.org/10.2165/00129784-200707001-00003] [PMID: 19845073]