# Acute ST-elevation myocardial infarction (STEMI) in a young man with unknown multiple and mixed Valvular heart diseases: case report

## TL;DR

A young man with multiple heart valve issues and atrial fibrillation experienced a heart attack due to a blood clot in his coronary artery.

## Contribution

This case report highlights a rare instance of STEMI caused by thromboembolism in a patient with complex valvular heart disease.

## Key findings

- Acute myocardial infarction was caused by coronary thromboemboli in a patient with mixed valvular heart disease.
- Thromboaspiration and balloon angioplasty were used as interventions for the coronary artery blockage.

## Abstract

Although the incidence of systemic thromboembolism in valvular heart disease has been reported to be as high as 10% to 35%, embolization to the coronary arteries is uncommon. We present a case of a patient with acute myocardial infarction caused by coronary thromboemboli associated with combined valvular heart disease and atrial fibrillation. The thromboemboli were documented in the left descending artery. Coronary interventions including thromboaspiration and percutaneous coronary balloon angioplasty were attempted.