TY - JOUR
TI - ST-elevation myocardial infarction in a 39-year-old patient with "normal" coronary arteries as a thrombotic complication of COVID-19.
AU - Liori, Sotiria
AU - Pappas, Christos
AU - Rallidis, Loukianos
JO - Journal of Cardiology Cases
PY - 2021
VL - null
TODO - null
SP - null
PB - 
SN - 1878-5409
TODO - 10.1016/j.jccase.2021.12.006
TODO - Case report, Coronary thrombus, Coronavirus disease-2019, ST-segment elevation myocardial infarction, Thrombotic complications
TODO - 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.
ER -