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Unusual cause of myocardial infarction and congestive heart failure in a patient with prosthetic valve endocarditis

Authors

  • Stefan Bloechlinger MD, PhD,

    Corresponding author
    1. Department of Cardiology, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland
    2. Department of Intensive Care Medicine, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland
    • Correspondence to: Dr. Stefan Blöchlinger, Department of Cardiology, Inselspital, Freiburgstrasse 18, CH-3010 Bern, Switzerland. E-mail: stefan.bloechlinger@insel.ch

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  • Mathias Nebiker MD,

    1. Department of Intensive Care Medicine, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland
    2. Department of Internal Medicine, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland
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  • Stephan Windecker MD

    1. Department of Cardiology, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland
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  • Conflict of interest: Nothing to report.

Abstract

In a patient with staphylococcus lugdunensis prosthetic aortic valve endocarditis and coronary septic embolism accompanied by antero-lateral myocardial infarction, embolic material was successfully aspirated from the bifurcation of the left anterior descending coronary artery and the first diagonal branch. A good angiographic result was documented six months thereafter when the patient presented with a second complication, pulsatile compression of the left main coronary artery by an abscess cavity originating between the aortic and mitral annulus, leading to congestive heart failure. The patient underwent successful surgical replacement of the aortic valve prosthesis with concomitant patch reconstruction of the annulus as well as tricuspid annuloplasty. © 2013 Wiley Periodicals, Inc.

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