AI Article Synopsis
- - A patient experienced an acute heart attack (myocardial infarction) and cardiogenic shock due to previously undetected infection of a bioprosthetic aortic valve (endocarditis) without any blocked coronary arteries.
- - The doctors found that the heart issue was most likely caused by external pressure from an abscess around the valve, which was later confirmed during an autopsy.
- - This case highlights the importance of considering coronary artery compression as a possible cause in patients with heart issues related to infective endocarditis, even though it's rare.
Article Abstract
We describe the case of a patient presenting with acute myocardial infarction complicated by cardiogenic shock in the setting of an unknown bioprosthetic aortic valve endocarditis and in absence of obstructive coronary artery disease. Given the angiographic finding, the most likely etiology was external compression by a perivalvular abscess, which was confirmed during autopsy. Although rare, coronary artery compression should be considered in the differential diagnosis of acute coronary syndromes complicating infective endocarditis.
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| http://dx.doi.org/10.1714/3751.37341 | DOI Listing |
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