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Case Reports
. 2021 Oct 5;2021(10):rjab438.
doi: 10.1093/jscr/rjab438. eCollection 2021 Oct.

Coronary artery embolism and culture-negative endocarditis post Bentall's procedure

Jared McNeill  1 , Hong Chew  1 , David Andresen  2 , David Muller  3 , Emily Granger  1 , Louis W Wang  3
Affiliations
Case Reports

Coronary artery embolism and culture-negative endocarditis post Bentall's procedure

Jared McNeill et al. J Surg Case Rep. .

Abstract

Infective endocarditis is an important cause of morbidity and mortality, which classically presents with fevers and nonspecific symptoms. Afebrile infective endocarditis with negative blood cultures makes diagnosis more challenging and delays in treatment can occur increasing the likelihood of complications. The presence of prosthetic heart valves places patients at an increased risk of infective endocarditis and the case described below highlights the importance of considering this diagnosis even if classic clinical features such as fever and raised inflammatory markers are not present, as well as discussing an unusual complication of infective endocarditis; coronary artery embolism leading to myocardial infarction.

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Figures

Figure 1
Figure 1
Patient’s electrocardiogram day one of admission demonstrating anterior ST elevation myocardial infarction with reciprocal ST-T wave changes in the inferior leads.
Figure 2
Figure 2
Coronary angiogram demonstrating proximally occluded LAD artery.
Figure 3
Figure 3
Endocarditic lesion on the ventricular surface of the non-coronary cusp of the bioprosthetic valve during revision of Bentall’s procedure.
See this image and copyright information in PMC

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