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[Acute myocardial infarction due to external coronary artery compression in prosthetic valve endocarditis]

Gian Marco Dacquino1, Stefania Falcone1, Chiara Minoia1

  • 1Dipartimento di Cardiologia, Presidio Ospedaliero di Gallarate, ASST Valle Olona (VA).

Giornale Italiano Di Cardiologia (2006)
|March 28, 2022
PubMed

Insights

A rare case of acute myocardial infarction due to coronary artery compression from a perivalvular abscess in infective endocarditis is presented. This highlights the importance of considering coronary compression in acute coronary syndromes complicating endocarditis.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pathology

Background:

  • Acute myocardial infarction (AMI) and cardiogenic shock are life-threatening cardiac emergencies.
  • Infective endocarditis (IE) is a serious infection of the heart valves.
  • Bioprosthetic aortic valve endocarditis presents unique diagnostic challenges.

Observation:

  • A patient presented with AMI and cardiogenic shock.
  • Coronary angiography revealed no obstructive coronary artery disease.
  • The patient had an unknown bioprosthetic aortic valve endocarditis.

Findings:

  • Autopsy confirmed external compression of coronary arteries by a perivalvular abscess.
  • The abscess was the likely cause of the myocardial infarction.
  • This case demonstrates a rare complication of infective endocarditis.

Implications:

  • Coronary artery compression should be included in the differential diagnosis of AMI in patients with infective endocarditis.
  • Early recognition of this rare complication can potentially alter patient management.
  • This case underscores the importance of comprehensive autopsy in unexplained cardiac events.

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