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Unusual mechanism of myocardial infarction in prosthetic valve endocarditis

A 46-year-old man with bicuspid aortic valve and severe calcific aortic stenosis was submitted to aortic valve replacement with a stented bioprosthesis. He developed Staphylococcus epidermidis prosthetic valve endocarditis a month later, presenting in the emergency room with acute myocardial infarct...

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Autores principales: Atik, Fernando A, Campos, Vanessa G, da Cunha, Claudio R, de Oliveira, Felipe Bezerra Martins, Otto, Maria Estefânia Bosco, Monte, Guilherme U
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4448920/
https://www.ncbi.nlm.nih.gov/pubmed/26045678
http://dx.doi.org/10.2147/IMCRJ.S61348
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author Atik, Fernando A
Campos, Vanessa G
da Cunha, Claudio R
de Oliveira, Felipe Bezerra Martins
Otto, Maria Estefânia Bosco
Monte, Guilherme U
author_facet Atik, Fernando A
Campos, Vanessa G
da Cunha, Claudio R
de Oliveira, Felipe Bezerra Martins
Otto, Maria Estefânia Bosco
Monte, Guilherme U
author_sort Atik, Fernando A
collection PubMed
description A 46-year-old man with bicuspid aortic valve and severe calcific aortic stenosis was submitted to aortic valve replacement with a stented bioprosthesis. He developed Staphylococcus epidermidis prosthetic valve endocarditis a month later, presenting in the emergency room with acute myocardial infarction. The mechanism of myocardial ischemia was a large aortic root abscess causing left main extrinsic compression. He was urgently taken to the operating room, and an aortic root replacement with cryopreserved homograft was performed, associated with autologous pericardium patch closure of aortic to right atrium fistula and coronary artery bypass grafting of the left anterior descending. After a difficult postoperative period with multiple problems, he was eventually discharged home. At 36-month follow-up, he is asymptomatic with no recurrent infection, and the left main coronary artery is widely patent on control chest computed tomography.
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spelling pubmed-44489202015-06-04 Unusual mechanism of myocardial infarction in prosthetic valve endocarditis Atik, Fernando A Campos, Vanessa G da Cunha, Claudio R de Oliveira, Felipe Bezerra Martins Otto, Maria Estefânia Bosco Monte, Guilherme U Int Med Case Rep J Case Report A 46-year-old man with bicuspid aortic valve and severe calcific aortic stenosis was submitted to aortic valve replacement with a stented bioprosthesis. He developed Staphylococcus epidermidis prosthetic valve endocarditis a month later, presenting in the emergency room with acute myocardial infarction. The mechanism of myocardial ischemia was a large aortic root abscess causing left main extrinsic compression. He was urgently taken to the operating room, and an aortic root replacement with cryopreserved homograft was performed, associated with autologous pericardium patch closure of aortic to right atrium fistula and coronary artery bypass grafting of the left anterior descending. After a difficult postoperative period with multiple problems, he was eventually discharged home. At 36-month follow-up, he is asymptomatic with no recurrent infection, and the left main coronary artery is widely patent on control chest computed tomography. Dove Medical Press 2015-05-25 /pmc/articles/PMC4448920/ /pubmed/26045678 http://dx.doi.org/10.2147/IMCRJ.S61348 Text en © 2015 Atik et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Atik, Fernando A
Campos, Vanessa G
da Cunha, Claudio R
de Oliveira, Felipe Bezerra Martins
Otto, Maria Estefânia Bosco
Monte, Guilherme U
Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title_full Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title_fullStr Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title_full_unstemmed Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title_short Unusual mechanism of myocardial infarction in prosthetic valve endocarditis
title_sort unusual mechanism of myocardial infarction in prosthetic valve endocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4448920/
https://www.ncbi.nlm.nih.gov/pubmed/26045678
http://dx.doi.org/10.2147/IMCRJ.S61348
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