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Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
A 61-year-old male with a prosthetic St Jude aortic valve size 24 presented with heart failure symptoms and minimal-effort angina. Eleven months earlier, the patient had undergone cardiac surgery because of an aortic root dilatation and bicuspid aortic valve with severe regurgitation secondary to in...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743124/ https://www.ncbi.nlm.nih.gov/pubmed/29317805 http://dx.doi.org/10.2147/CIA.S144840 |
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author | Lacalzada-Almeida, Juan De la Rosa-Hernández, Alejandro Izquierdo-Gómez, María Manuela García-Niebla, Javier Hernández-Betancor, Iván Bonilla-Arjona, Juan Alfonso Barragán-Acea, Antonio Laynez-Cerdeña, Ignacio |
author_facet | Lacalzada-Almeida, Juan De la Rosa-Hernández, Alejandro Izquierdo-Gómez, María Manuela García-Niebla, Javier Hernández-Betancor, Iván Bonilla-Arjona, Juan Alfonso Barragán-Acea, Antonio Laynez-Cerdeña, Ignacio |
author_sort | Lacalzada-Almeida, Juan |
collection | PubMed |
description | A 61-year-old male with a prosthetic St Jude aortic valve size 24 presented with heart failure symptoms and minimal-effort angina. Eleven months earlier, the patient had undergone cardiac surgery because of an aortic root dilatation and bicuspid aortic valve with severe regurgitation secondary to infectious endocarditis by Coxiela burnetii and coronary artery disease in the left circumflex coronary artery. Then, a prosthesis valve and a saphenous bypass graft to the left circumflex coronary artery were placed. The patient was admitted to the Cardiology Department of Hospital Universitario de Canarias, Tenerife, Spain and a transthoracic echocardiography was performed that showed severe paraprosthetic aortic regurgitation and an aortic pseudoaneurysm. The 64-slice multidetector computed tomography confirmed the pseudoaneurysm, originating from the right sinus of Valsalva, with a compression of the native right coronary artery and a normal saphenous bypass graft. On the basis of these findings, we performed surgical treatment with a favorable postoperative evolution. In our case, results from complementary cardiac imaging techniques were crucial for patient management. The multidetector computed tomography allowed for a confident diagnosis of an unusual mechanism of coronary ischemia. |
format | Online Article Text |
id | pubmed-5743124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-57431242018-01-09 Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia Lacalzada-Almeida, Juan De la Rosa-Hernández, Alejandro Izquierdo-Gómez, María Manuela García-Niebla, Javier Hernández-Betancor, Iván Bonilla-Arjona, Juan Alfonso Barragán-Acea, Antonio Laynez-Cerdeña, Ignacio Clin Interv Aging Case Report A 61-year-old male with a prosthetic St Jude aortic valve size 24 presented with heart failure symptoms and minimal-effort angina. Eleven months earlier, the patient had undergone cardiac surgery because of an aortic root dilatation and bicuspid aortic valve with severe regurgitation secondary to infectious endocarditis by Coxiela burnetii and coronary artery disease in the left circumflex coronary artery. Then, a prosthesis valve and a saphenous bypass graft to the left circumflex coronary artery were placed. The patient was admitted to the Cardiology Department of Hospital Universitario de Canarias, Tenerife, Spain and a transthoracic echocardiography was performed that showed severe paraprosthetic aortic regurgitation and an aortic pseudoaneurysm. The 64-slice multidetector computed tomography confirmed the pseudoaneurysm, originating from the right sinus of Valsalva, with a compression of the native right coronary artery and a normal saphenous bypass graft. On the basis of these findings, we performed surgical treatment with a favorable postoperative evolution. In our case, results from complementary cardiac imaging techniques were crucial for patient management. The multidetector computed tomography allowed for a confident diagnosis of an unusual mechanism of coronary ischemia. Dove Medical Press 2017-12-21 /pmc/articles/PMC5743124/ /pubmed/29317805 http://dx.doi.org/10.2147/CIA.S144840 Text en © 2018 Lacalzada-Almeida et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. 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 Lacalzada-Almeida, Juan De la Rosa-Hernández, Alejandro Izquierdo-Gómez, María Manuela García-Niebla, Javier Hernández-Betancor, Iván Bonilla-Arjona, Juan Alfonso Barragán-Acea, Antonio Laynez-Cerdeña, Ignacio Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title | Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title_full | Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title_fullStr | Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title_full_unstemmed | Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title_short | Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
title_sort | compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743124/ https://www.ncbi.nlm.nih.gov/pubmed/29317805 http://dx.doi.org/10.2147/CIA.S144840 |
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