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Acute coronary syndrome as the initial manifestation of infective endocarditis in an apparently normal native valve: a case report.
Eur Heart J Case Rep
November 2024
Interventional Cardiology, Cardiology Section, Department of Internal Medicine, Cardiovascular Disease Study Group, The University of Antioquia, Hemodynamics Service, Integrated Cardiopulmonary and Peripheral Vascular Functional Unit, The San Vicente University Hospital Foundation, 67th Street # 53-108, 050010 Medellín, Colombia.
Article Synopsis
- Acute coronary syndrome, a rare complication of infectious endocarditis, was experienced by a 54-year-old man with a bicuspid aortic valve, leading to a ST elevation myocardial infarction (STEMI) from a mass obstructing the right coronary artery (RCA).
- The patient presented with chest pain, and after testing, doctors found a mass blocking blood flow in the RCA and confirmed a protrusion from the right coronary sinus via angiotomography.
- Following discussions at a medical meeting, surgery was performed to remove the mass, which was identified as vegetation through histopathology, and the patient was treated with antibiotics and anticoagulation.