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Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis

Echo Research & Practice volume 5, pages K35–K40 (2018)Cite this article

Summary

This case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male presented with cardiac sounding chest pain on a background of a short history of night sweats, weight loss and general malaise. Four months previously, he had undergone bio-prosthetic aortic valve replacement for severe aortic stenosis and single vessel bypass grafting of the obtuse marginal. Whilst having chest pain, his ECG showed infero-lateral ST depression. Early coronary angiography revealed a new right coronary artery (RCA) lesion that was not present prior to his cardiac surgery. Using multi-modality cardiac imaging, the diagnosis of PVE was made. An aortic root abscess was demonstrated that was causing external compression of the RCA.

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Authors and Affiliations

  1. Cardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK

    Baskar Sekar MRCP MPhil, Richard Wheeler FRCP, Navroz Masani FRCP & Sean Gallagher MD FRCP

Authors
  1. Baskar Sekar MRCP MPhil
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  2. Richard Wheeler FRCP
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  3. Navroz Masani FRCP
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  4. Sean Gallagher MD FRCP
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Correspondence to Baskar Sekar MRCP MPhil.

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Sekar, B., Wheeler, R., Masani, N. et al. Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis. Echo Res Pract 5, K35–K40 (2018). https://doi.org/10.1530/ERP-18-0022

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  • DOI: https://doi.org/10.1530/ERP-18-0022

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Echo Research & Practice

ISSN: 2055-0464

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