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 |
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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 |