Septic coronary embolism in a deceptive case of presumed isolated tricuspid valve endocarditis

AbstractA 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 i n a patient initially presenting with presumed isolated tricuspid valve vegetation.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research