Mitral valve calcific embolization leading to myocardial infarction in a patient with end-stage renal disease.

Yousef Hailan, Nazar Mohammad, Hakam Alzaeem, Hiba Habib, Mhd Baraa Habib

Abstract readCase Reports

In one paragraph

Article in Oxford medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yousef HailanCardiology Department, Heart Hospital, Hamad Medical Corporation, Al Rayyan Road, Hamad Medical City, Doha, P.O. Box 3050, Qatar.ORCID https://orcid.org/0000-0002-0760-9906

Nazar MohammadCardiology Department, Heart Hospital, Hamad Medical Corporation, Al Rayyan Road, Hamad Medical City, Doha, P.O. Box 3050, Qatar.

Hakam AlzaeemCardiology Department, Heart Hospital, Hamad Medical Corporation, Al Rayyan Road, Hamad Medical City, Doha, P.O. Box 3050, Qatar.

Hiba HabibInternal Medicine Department, Damascus University Hospital, Damascus, Syria.ORCID https://orcid.org/0009-0005-5728-685X

Mhd Baraa HabibCardiology Department, Heart Hospital, Hamad Medical Corporation, Al Rayyan Road, Hamad Medical City, Doha, P.O. Box 3050, Qatar.ORCID https://orcid.org/0000-0003-4585-2883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While atherothrombosis accounts for the majority of acute coronary syndrome (ACS) cases, non-atherosclerotic mechanisms like coronary embolism are important considerations in end-stage renal disease (ESRD). A 52-year-old woman with ESRD and tertiary hyperparathyroidism presented with myocardial infarction. Echocardiography identified mobile mitral valve masses. Angiography showed a left anterior descending artery occlusion, but intravascular ultrasound revealed minimal plaque burden. Histopathological analysis of aspirated material confirmed calcified necrotic debris rather than thrombus. Despite concurrent COVID-19 infection, the rigid mechanical behavior of the masses during attempted percutaneous aspiration distinguished the pathology from infective endocarditis. This case highlights calcific coronary embolism as a rare ACS cause in ESRD patients. Multimodal imaging and histopathology are crucial for accurate diagnosis.

Indexed as

Acute coronary syndromeAngioVacCoronary embolismEnd-stage renal diseaseMitral valve calcificationTertiary hyperparathyroidism

Identifiers

PMID42267206

DOI10.1093/omcr/omag094

PMCPMC13243317

What Socratic holds

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.