title: Cardiogenic shock due to partial occlusion of the left coronary ostium in infective endocarditis: a case report.
abstract: The case is presented of chronic aortic valve endocarditis in a previously asymptomatic 54-year-old male. The main initial clinical manifestation was cardiogenic shock, but further examination revealed the presence of a large mobile mass attached to a bicuspid aortic valve, partially occluding the left coronary ostium. The patient underwent emergency surgery to excise the vegetative mass and preserve the aortic valve. The postoperative outcome was satisfactory.
authors.affiliation: The Valley Hospital-Columbia Heart Center, Ridgewood, New Jersey 07450, USA. brizma@valleyhealth.com
authors.forename: Mariano E
authors.initials: ME
authors.lastname: Brizzio
authors.forename: Alex
authors.initials: A
authors.lastname: Zapolanski
authors.forename: Jason S
authors.initials: JS
authors.lastname: Sperling
mesh_terms: D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001026:Coronary Artery Bypass; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006095:Gram-Positive Cocci; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery