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<p>Myocardial infarction with non-obstructive coronary arteries (MINOCA) requires advanced imaging for etiological clarification. In a 76-year-old man initially suspected of myocarditis, cardiovascular magnetic resonance (CMR) revealed right ventricular and inferoseptal embolic myocardial infarction with microvascular obstruction (MVO). Subsequent detection of paroxysmal atrial fibrillation supported coronary embolism as the underlying mechanism, directly impacting diagnosis and management.</p>

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CMR unmasks a right ventricular embolic infarction pattern in MINOCA

  • 期刊论文

  • 发表日期：

    2025年12月29日

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  • Giacomo Maria Viani,
  • Silan Aka,
  • Alejandro Rodríguez Pérez,
  • Anna Giulia Pavon

摘要

Myocardial infarction with non-obstructive coronary arteries (MINOCA) requires advanced imaging for etiological clarification. In a 76-year-old man initially suspected of myocarditis, cardiovascular magnetic resonance (CMR) revealed right ventricular and inferoseptal embolic myocardial infarction with microvascular obstruction (MVO). Subsequent detection of paroxysmal atrial fibrillation supported coronary embolism as the underlying mechanism, directly impacting diagnosis and management.