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

Echo Research and Practice

Richard Wheeler¹  Baskar Sekar¹  Navroz Masani¹  Sean Gallagher¹ 

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

关键词: prosthetic valve endocarditis;    acute coronary syndrome;    aortic root abscess;    aortic valve replacement;   

DOI  :  https://doi.org/10.1530/ERP-18-0022

来源: DOAJ

【 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.

【 授权许可】

Unknown