| CASE REPORT |
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| Year : 2019 | Volume
: 29
| Issue : 2 | Page : 58-61 |
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Aortic regurgitation as a risk factor for coronary embolization from complex atheromatous aortic plaques: A clinical case
Vito Maurizio Parato, Alfredo Cardinali, Michele Scarano
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
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
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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