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

Myocardial ischemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis.
Author Information (click to view)

Sekar B, Wheeler R, Masani N, Gallagher S,


Sekar B, Wheeler R, Masani N, Gallagher S, (click to view)

Sekar B, Wheeler R, Masani N, Gallagher S,

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Echo research and practice 2018 04 11() pii ERP-18-0022
Abstract

This case describes an unusual presentation of prosthetic valve endocarditis: an acute coronary syndrome. A 67-year-old gentleman 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 lesion that was not present prior to his cardiac surgery. Using multi-modality cardiac imaging the diagnosis of prosthetic valve endocarditis (PVE) was made. An aortic root abscess was demonstrated that was causing external compression of the right coronary artery.

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