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Septic coronary embolism in a deceptive case of presumed isolated tricuspid valve endocarditis
Author(s) -
ArandaMichel Edgar,
Yousef Sarah,
Sultan Ibrahim,
Kilic Arman
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14198
Subject(s) - medicine , tricuspid valve , endocarditis , cardiology , intracardiac injection , aortic valve , embolism , shunt (medical)
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.