Cardiogenic shock due to partial occlusion of the left coronary ostium in infective endocarditis: a case report.
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.
Brizzio
Mariano E
ME
The Valley Hospital-Columbia Heart Center, Ridgewood, New Jersey 07450, USA. brizma@valleyhealth.com
Zapolanski
Alex
A
Sperling
Jason S
JS
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