J Cardiol Cases . ST-elevation myocardial infarction in a 39-year-old patient with "normal" coronary arteries as a thrombotic complication of COVID-19

[tetano]

J Cardiol Cases


. 2021 Dec 30.
doi: 10.1016/j.jccase.2021.12.006. Online ahead of print.
ST-elevation myocardial infarction in a 39-year-old patient with "normal" coronary arteries as a thrombotic complication of COVID-19


Sotiria Liori ¹ , Christos Pappas ¹ , Loukianos Rallidis ¹



Affiliations

• PMID: 34980952
• PMCID: PMC8716165
• DOI: 10.1016/j.jccase.2021.12.006

Abstract

We report the case of a 39-year-old male without traditional risk factors for coronary artery disease (CAD), i.e. smoking, hypercholesterolemia, hypertension, diabetes mellitus, familial history of premature CAD, admitted with anterior ST-segment elevation myocardial infarction and concurrent coronavirus disease-2019 infection. Coronary angiography showed high intracoronary thrombus burden and thrombotic occlusion of the proximal segment of left anterior descending artery, while optical coherence tomography revealed intact endothelium after thromboaspiration.
Learning objective: : Coronavirus disease-2019 (COVID-19) may predispose to thrombotic complications in both the venous and the arterial circulation. ST-segment elevation myocardial infarction (STEMI), rarely, may be the main clinical presentation of COVID-19. STEMI in patients with concurrent COVID-19 may be caused by thrombotic coronary occlusion even in the setting of "normal" coronary arteries.

Keywords: Case report; Coronary thrombus; Coronavirus disease-2019; ST-segment elevation myocardial infarction; Thrombotic complications.