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- Title
Septic coronary embolism in a deceptive case of presumed isolated tricuspid valve endocarditis.
- Authors
Aranda‐Michel, Edgar; Yousef, Sarah; Sultan, Ibrahim; Kilic, Arman; Aranda-Michel, Edgar
- Abstract
A 46-year-old female presented with native tricuspid valve endocarditis complicated by a stroke with a hemorrhagic component. There was no evidence of intracardiac shunt nor left-sided valve involvement. Delayed surgery was planned to allow neurologic recovery, however, the patient developed an ST-elevation myocardial infarction and cardiac arrest from an occluded right posterior ventricular branch of the right coronary artery from a septic embolism. Repeat imaging demonstrated new aortic valve vegetation involving the right coronary cusp. This case highlights a unique sequence of events in a patient initially presenting with presumed isolated tricuspid valve vegetation.
- Subjects
TRICUSPID valve; TRICUSPID valve surgery; EMBOLISMS; AORTIC valve; MYOCARDIAL infarction; CARDIAC arrest
- Publication
Journal of Cardiac Surgery, 2019, Vol 34, Issue 10, p1130
- ISSN
0886-0440
- Publication type
case study
- DOI
10.1111/jocs.14198