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Year : 2019  |  Volume : 29  |  Issue : 2  |  Page : 58-61

Aortic regurgitation as a risk factor for coronary embolization from complex atheromatous aortic plaques: A clinical case

Department of Emergency, Cardiology Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy

Correspondence Address:
Vito Maurizio Parato
ASUR/AV5 - Cardiology Unit, Madonna del Soccorso Hospital, 3-7, Via Manara, 63074 San Benedetto del Tronto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_72_18

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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.

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