Open AccessCoronary ostial embolus and mitral vegetation simulating a left atrial myxoma: A case of probable cryptococcal valvulitis
Author(s) -
Child J. S.,
Macalpin R. N.,
Moyer G. H.,
Shanley J. D.,
Layfield L. J.
Publication year - 1979
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960020108
Subject(s) - medicine , cardiogenic shock , embolus , cardiology , autopsy , left atrial myxoma , myxoma , cryptococcosis , etiology , myocardial infarction , atrial fibrillation , pathology , left atrium
A 56 year old man died with disseminated cryptococcosis after immunosuppressive therapy for a hematologic disorder of unknown etiology. The immediate cause of death was cardiogenic shock, probably resulting from a large right coronary ostial embolus and subsequent ischemic myocardial injury. The embolus originated from a bulky mitral vegetation (possibly cryptococcal) demonstrated ante mortem by echocardiography and cardiac angiography, and at autopsy. The differential diagnosis of such an echocardiographic pattern is discussed.