Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: Atypical presentation of prosthetic valve endocarditis

被引：0

作者：

Sekar B. ^{[1
]}

Wheeler R. ^{[1
]}

Masani N. ^{[1
]}

Gallagher S. ^{[1
]}

机构：

[1] Cardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff

来源：

Echo Research & Practice | 2018年 / 5卷 / 2期

关键词：

Acute coronary syndrome; Aortic root abscess; Aortic valve replacement; Prosthetic valve endocarditis;

D O I：

10.1530/ERP-18-0022

中图分类号：

学科分类号：

摘要：

This case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male presented with cardiac sounding chest pain on a background of a short history of night sweats, weight loss and general malaise. Four months previously, he had undergone bio-prosthetic aortic valve replacement for severe aortic stenosis and single vessel bypass grafting of the obtuse marginal. Whilst having chest pain, his ECG showed infero-lateral ST depression. Early coronary angiography revealed a new right coronary artery (RCA) lesion that was not present prior to his cardiac surgery. Using multi-modality cardiac imaging, the diagnosis of PVE was made. An aortic root abscess was demonstrated that was causing external compression of the RCA. © 2018 The authors Published by Bioscientifica Ltd

引用

页码：K35 / K40

页数：5

共 9 条

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