Display options
Cite
Virk HU, Inayat F, Farooq S, et al. Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature. N Am J Med Sci. 2016;8(6):259-62doi: 10.4103/1947-2714.185040.
Virk, H. U., Inayat, F., Farooq, S., Ghani, A. R., Mirrani, G. A., & Athar, M. W. (2016). Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature. North American journal of medical sciences, 8(6), 259-62. https://doi.org/10.4103/1947-2714.185040
Virk, Hafeez Ul Hassan, et al. "Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature." North American journal of medical sciences vol. 8,6 (2016): 259-62. doi: https://doi.org/10.4103/1947-2714.185040
Virk HU, Inayat F, Farooq S, Ghani AR, Mirrani GA, Athar MW. Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature. N Am J Med Sci. 2016 Jun;8(6):259-62. doi: 10.4103/1947-2714.185040. PMID: 27500132; PMCID: PMC4960937.
Copy Download .nbib Format: NLM
Share it on

N Am J Med Sci. 2016 Jun;8(6):259-62. doi: 10.4103/1947-2714.185040.

Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature.

North American journal of medical sciences

Hafeez Ul Hassan Virk, Faisal Inayat, Salman Farooq, Ali Raza Ghani, Ghazi A Mirrani, Muhammed Waqas Athar

Affiliations

  1. Department of Medicine, St. Luke's Roosevelt Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  2. Department of Medicine, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
  3. Department of Neurology, Froedtert Memorial Lutheran Hospital, Medical College of Wisconsin, Milwaukee, WI, USA.
  4. Department of Medicine, Abington Jefferson Hospital, PA, USA.
  5. Department of Cardiology, Lehigh Valley Hospital, PA, USA.
  6. Department of Medicine, John Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 27500132 PMCID: PMC4960937 DOI: 10.4103/1947-2714.185040

Abstract

CONTEXT: Coronary embolization is potentially a fatal sequela of endocarditis. Although the primary cause of acute coronary syndrome is atherosclerotic disease, it is imperative to consider septic embolism as an etiological factor.

CASE REPORT: Herein, we report a case of ventricular fibrillation and ST-segment depression myocardial infarction occurring in a patient who initially presented with fever and increased urinary frequency. Coronary angiography revealed new 99% occlusion of the left main coronary artery (LMCA). Transesophageal echocardiography showed bioprosthetic aortic valve with an abscess and vegetation. Histologic examination of the embolectomy specimen confirmed the presence of thrombus and Enterococcus faecalis bacteria. Subsequently, the patient was discharged to the skilled nursing facility in a stable condition where he completed 6 weeks of intravenous ampicillin.

CONCLUSION: We present a rare case of LMCA embolism due to prosthetic valve endocarditis. The present report also highlights the diagnostic and therapeutic challenges associated with such patients.

Keywords: Coronary artery embolism; enterococcus faecalis; myocardial infarction; prosthetic aortic valve endocarditis

References

  1. Lakartidningen. 1988 Aug 24;85(34):2657-8 - PubMed
  2. N Engl J Med. 2012 Jun 28;366(26):2466-73 - PubMed
  3. Ann Thorac Cardiovasc Surg. 2007 Jun;13(3):206-8 - PubMed
  4. Clin Cardiol. 1997 Oct;20(10):885-8 - PubMed
  5. J Emerg Med. 2001 Nov;21(4):401-6 - PubMed
  6. Catheter Cardiovasc Interv. 2000 May;50(1):74-7 - PubMed
  7. Clin Infect Dis. 2007 May 1;44(9):1180-6 - PubMed
  8. Antimicrob Agents Chemother. 1993 Nov;37(11):2474-7 - PubMed
  9. Eur J Echocardiogr. 2011 Feb;12 (2):E10 - PubMed
  10. JAMA. 2007 Mar 28;297(12):1354-61 - PubMed
  11. N Engl J Med. 2001 Nov 1;345(18):1318-30 - PubMed
  12. Ann Emerg Med. 1997 Jan;29(1):175-7 - PubMed
  13. Clin Infect Dis. 1996 Jan;22(1):192-3 - PubMed
  14. Circulation. 1978 Oct;58(4):589-97 - PubMed

Publication Types