Acute coronary syndrome as the initial manifestation of infective endocarditis in an apparently normal native valve: a case report.

ABSTRACT:

Background

Acute coronary syndrome is a rare complication of infectious endocarditis. We present the case of a patient with a bicuspid aortic valve who presented an acute ST elevation myocardial infarction (STEMI) of the inferior wall secondary to vegetation that generated obstruction of the ostium of the right coronary artery (RCA).

Case summary

A 54-year-old patient with only a history of smoking was admitted for chest pain. An acute STEMI in the inferior wall was documented; he underwent an emergent coronary angiography, which showed a mass that obstructed the ostium of the RCA that did not allow its channelling. An angiotomography of the aorta was performed, where dissection was ruled out and the presence of a mass in the right coronary sinus that protruded towards the o

SUBMITTER: Lozano Pineda F 

PROVIDER: S-EPMC11552525 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature