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.
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.
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.