scholarly journals Coronary embolization from aortic valve fibroelastoma

2020 ◽  
Vol 8 (9) ◽  
pp. 1610-1612
Author(s):  
Henry O. Savage ◽  
Alberto Albanese ◽  
Vincenzo Caruso ◽  
Swamy Gedela ◽  
Jason Dungu
Keyword(s):  
Aortic Valve ◽  
Coronary Embolization

scholarly journals ST segment elevation caused by ostial right coronary artery obstruction in infective endocarditis: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alexander Bolton ◽  
Georges Hajj ◽  
Laila Payvandi ◽  
Christopher Komanapalli
Keyword(s):  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Right Coronary Artery ◽  
Tertiary Care ◽  
Care Facility ◽  
Coronary Syndrome ◽  
St Segment ◽  
Coronary Embolization ◽  
The Right

Abstract Background Acute coronary syndrome (ACS) is a rare, but serious complication of infective endocarditis, and diagnosis can be challenging given clinical overlap with other syndromes. A rare cause of ACS in infective endocarditis is mechanical obstruction of the coronary artery. We present the case of a patient with infective endocarditis who developed ST segment myocardial infarction due to occlusion of the right coronary artery ostium by a vegetation. Case presentation A 53-year-old female with no prior history of coronary artery disease was transferred to our tertiary care facility for evaluation and treatment of suspected myopericarditis. After transfer she developed inferior ST segment elevations on ECG along with fever and positive blood cultures for methicillin susceptible Staphylococcus aureus (MSSA). A transesophageal echocardiogram revealed a vegetation on the aortic valve that intermittently prolapsed into the right coronary ostium. She decompensated from a hemorrhagic brain infarct and subsequently transferred to the intensive care unit. She underwent surgical aortic valve debridement without prior cardiac catheterization given the danger of septic coronary embolization. After a prolonged hospital course with multiple complications, she was able to discharge home, with no neurologic deficits on follow-up. Conclusions ACS presents a diagnostic and therapeutic challenge in the setting of infective endocarditis. Careful attention to the history, physical exam and testing can help differentiate infective endocarditis from other conditions sharing similar symptoms. Traditional atherosclerotic ACS management may cause great harm when treating patients with infective endocarditis. The presence of a multidisciplinary endocarditis team is ideal to provide the best clinical outcomes for this population.

scholarly journals Triple papillary fibroelastoma of the aortic valve asociated to cerebral and coronary embolization

2014 ◽  
Vol 82 (3) ◽  
pp. 242-243
Author(s):  
Raúl Alfredo Borracci ◽  
Jorge Lowenstein ◽  
Gustavo Ramos ◽  
José Luis Barisani ◽  
Alejandro Iotti
Keyword(s):  
Aortic Valve ◽  
Papillary Fibroelastoma ◽  
Coronary Embolization

An Assessment of Ca-Naphthenate-Epon Mixtures as Standards for Calcium Quantification in Aortic Valve Leaflets

1982 ◽  
Vol 40 ◽  
pp. 390-391
Author(s):  
Kathryn N. Colonna ◽  
Sydney S. Breese ◽  
Susan C. Sellers ◽  
J. David Deck
Keyword(s):  
Aortic Valve ◽  
Aortic Valves ◽  
X Ray ◽  
Aortic Valve Leaflets

Qualitative x-ray microanalytical studies used to demonstrate calcium in bioprosthetic aortic valves have shown that it occurs in a range of morphological forms. A consistent and reproducible standard for measuring calcium was necessary to investigate whether these forms represented varying concentrations of calcium. To provide such a standard, we tested a series of calcium naphthenate-epon mixtures.

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