{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T11:46:22Z","timestamp":1782560782230,"version":"3.54.5"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1093\/omcr\/omag094","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T11:40:03Z","timestamp":1778326803000},"source":"Crossref","is-referenced-by-count":0,"title":["Mitral valve calcific embolization leading to myocardial infarction in a patient with end-stage renal disease"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0760-9906","authenticated-orcid":false,"given":"Yousef","family":"Hailan","sequence":"first","affiliation":[{"name":"Cardiology Department, Heart Hospital, Hamad Medical Corporation , Al Rayyan Road, Hamad Medical City, Doha , P.O. Box 3050,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazar","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Cardiology Department, Heart Hospital, Hamad Medical Corporation , Al Rayyan Road, Hamad Medical City, Doha , P.O. Box 3050,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakam","family":"Alzaeem","sequence":"additional","affiliation":[{"name":"Cardiology Department, Heart Hospital, Hamad Medical Corporation , Al Rayyan Road, Hamad Medical City, Doha , P.O. Box 3050,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5728-685X","authenticated-orcid":false,"given":"Hiba","family":"Habib","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Damascus University Hospital , Damascus ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4585-2883","authenticated-orcid":false,"given":"Mhd Baraa","family":"Habib","sequence":"additional","affiliation":[{"name":"Cardiology Department, Heart Hospital, Hamad Medical Corporation , Al Rayyan Road, Hamad Medical City, Doha , P.O. 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