Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction
Acute myocardial infarction due to a coronary embolic event can occur as a complication of infective endocarditis in up to 2.9% of cases and can frequently be the presenting symptom. A 35-year-old female presented with 4 hours of typical chest pain and was found to have ST elevations in inferior lea...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/1348607 |
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| author | Mumtaz Zaman Richard Loynd Anthony Donato |
| author_facet | Mumtaz Zaman Richard Loynd Anthony Donato |
| author_sort | Mumtaz Zaman |
| collection | DOAJ |
| description | Acute myocardial infarction due to a coronary embolic event can occur as a complication of infective endocarditis in up to 2.9% of cases and can frequently be the presenting symptom. A 35-year-old female presented with 4 hours of typical chest pain and was found to have ST elevations in inferior leads as well as an elevated serum Troponin I of 8.29 ng/ml (normal: <0.06 ng/ml). Urgent cardiac catheterization revealed total occlusion of the right coronary artery without other coronary disease or collaterals. Following a failed attempt at thrombus extraction, a 3.0×38 mm bioabsorbable drug-eluting stent was placed. Echocardiography then revealed large mobile aortic valve vegetations with the largest measuring 1.4×1.7 cm, severe tricuspid regurgitation with a 1.1×0.5 cm mobile vegetation on the anterior leaflet along with a patent foramen ovale with right-to-left shunting. Blood cultures identified Enterococcus faecalis in 4 of 4 vials. The patient underwent urgent replacement of tricuspid and aortic valves as well as 6 weeks of IV antibiotics followed by chronic antibiotic suppression. |
| format | Article |
| id | doaj-art-92f25aa7e13e49b1afb5e7aef71c485b |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-92f25aa7e13e49b1afb5e7aef71c485b2025-02-03T01:10:47ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/13486071348607Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial InfarctionMumtaz Zaman0Richard Loynd1Anthony Donato2Sidney Kimmel Medical College at Thomas Jefferson University, USATower Health System, USASidney Kimmel Medical College at Thomas Jefferson University, USAAcute myocardial infarction due to a coronary embolic event can occur as a complication of infective endocarditis in up to 2.9% of cases and can frequently be the presenting symptom. A 35-year-old female presented with 4 hours of typical chest pain and was found to have ST elevations in inferior leads as well as an elevated serum Troponin I of 8.29 ng/ml (normal: <0.06 ng/ml). Urgent cardiac catheterization revealed total occlusion of the right coronary artery without other coronary disease or collaterals. Following a failed attempt at thrombus extraction, a 3.0×38 mm bioabsorbable drug-eluting stent was placed. Echocardiography then revealed large mobile aortic valve vegetations with the largest measuring 1.4×1.7 cm, severe tricuspid regurgitation with a 1.1×0.5 cm mobile vegetation on the anterior leaflet along with a patent foramen ovale with right-to-left shunting. Blood cultures identified Enterococcus faecalis in 4 of 4 vials. The patient underwent urgent replacement of tricuspid and aortic valves as well as 6 weeks of IV antibiotics followed by chronic antibiotic suppression.http://dx.doi.org/10.1155/2019/1348607 |
| spellingShingle | Mumtaz Zaman Richard Loynd Anthony Donato Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction Case Reports in Cardiology |
| title | Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction |
| title_full | Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction |
| title_fullStr | Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction |
| title_full_unstemmed | Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction |
| title_short | Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction |
| title_sort | native aortic and tricuspid valve endocarditis complicated by embolic st elevation myocardial infarction |
| url | http://dx.doi.org/10.1155/2019/1348607 |
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