Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis
This case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male 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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Echo Research and Practice |
| Subjects: | |
| Online Access: | http://www.echorespract.com/content/5/2/K35.full |
| _version_ | 1818041018171260928 |
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| author | Baskar Sekar Richard Wheeler Navroz Masani Sean Gallagher |
| author_facet | Baskar Sekar Richard Wheeler Navroz Masani Sean Gallagher |
| author_sort | Baskar Sekar |
| collection | DOAJ |
| description | This case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male 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 (RCA) lesion that was not present prior to his cardiac surgery. Using multi-modality cardiac imaging, the diagnosis of PVE was made. An aortic root abscess was demonstrated that was causing external compression of the RCA. |
| first_indexed | 2024-12-10T08:23:45Z |
| format | Article |
| id | doaj.art-aebfe62ae8b845a994863a7393ccf018 |
| institution | Directory Open Access Journal |
| issn | 2055-0464 2055-0464 |
| language | English |
| last_indexed | 2024-12-10T08:23:45Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Echo Research and Practice |
| spelling | doaj.art-aebfe62ae8b845a994863a7393ccf0182022-12-22T01:56:17ZengBMCEcho Research and Practice2055-04642055-04642018-05-0152K35K40https://doi.org/10.1530/ERP-18-0022Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditisBaskar Sekar0Richard Wheeler1Navroz Masani2Sean Gallagher3Cardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UKCardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UKCardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UKCardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UKThis case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male 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 (RCA) lesion that was not present prior to his cardiac surgery. Using multi-modality cardiac imaging, the diagnosis of PVE was made. An aortic root abscess was demonstrated that was causing external compression of the RCA.http://www.echorespract.com/content/5/2/K35.fullprosthetic valve endocarditisacute coronary syndromeaortic root abscessaortic valve replacement |
| spellingShingle | Baskar Sekar Richard Wheeler Navroz Masani Sean Gallagher Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis Echo Research and Practice prosthetic valve endocarditis acute coronary syndrome aortic root abscess aortic valve replacement |
| title | Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis |
| title_full | Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis |
| title_fullStr | Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis |
| title_full_unstemmed | Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis |
| title_short | Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis |
| title_sort | myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm atypical presentation of prosthetic valve endocarditis |
| topic | prosthetic valve endocarditis acute coronary syndrome aortic root abscess aortic valve replacement |
| url | http://www.echorespract.com/content/5/2/K35.full |
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