Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction

Zaman, Mumtaz and Loynd, Richard and Donato, Anthony (2019) Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction. Case Reports in Cardiology, 2019. pp. 1-6. ISSN 2090-6404

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Abstract

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.

Item Type: Article
Subjects: Journal Eprints > Medical Science
Depositing User: Managing Editor
Date Deposited: 27 Feb 2023 06:40
Last Modified: 01 Mar 2024 04:05
URI: http://repository.journal4submission.com/id/eprint/1004

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