Calcified bicuspid aortic valve mass prolapsing into the left main coronary artery

Transient occlusion of the right coronary artery by a calcific bicuspid aortic valve mass - An interesting case of inferior STEMI

Calcified bicuspid aortic valves are a commonly encountered clinical problem. Less common and possibly underreported, however, are embolic events secondary to a calcified valve. Events, including stroke and myocardial infarction, have been documented in the literature. We report the case of a myocardial infarction caused by transient occlusion of the right coronary artery, secondary to a mobile calcified lesion attached to a bicuspid aortic valve. <Learning objective: The purpose of this article is to demonstrate the importance of echocardiography in patients presenting with an acute myocardial infarction, without significant coronary artery disease. Urgent echocardiography in this case ensured identification of a calcified bicuspid valve and mobile lesion that had transiently occluded the right coronary artery. Subsequent urgent surgery ensured an excellent outcome.>.