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Myocardial Infarction with Non Obstructive Coronary Atherosclerosis: A Case Report



 Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a syndrome with different causes, characterized by clinical evidence of myocardial infarction with normal or near-normal coronary arteries on
angiography.



 Here we describe an interesting case of a 29 year old male known to have bioprosthetic aortic valve replacement who presented with chest pain suggestive of acute coronary syndrome, with rising troponin levels but having a
normal coronary angiography and a cardiac magnetic resonance imaging showing evidence of myocardial infarction thus
suggestive of MINOCA.



This case illustrates the increasing clinical role of cardiac magnetic resonance imaging in modern cardiology
and its ability to detect a final diagnosis in patients with MINOCA and also raise the possibility of recurrent embolic phenomena to the epicardial vessels from bioprosthetic valves , which might be challenging to prove. 
