Left main compression by an aortic root abscess.
A 79-year-old man with severe aortic stenosis, history of coronary artery disease and a recent hospitalization for sepsis presented at our institution following a syncope and angina at rest. Coronary angiography and aortography showed an aortic root abscess, causing left main coronary artery compression. This life-threatening complication of aortic valve endocarditis is rare and requires immediate surgical correction.
Cardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, University Hospital of Pisa, Pisa, Italy. leo.misuraca@gmail.com
Leonardo
L
Misuraca
Francesco
F
De Caro
Marco
M
De Carlo
Carlo
C
Barzaghi
Gianni
G
Scioti
Gaetano
G
Minzioni
Anna S
AS
Petronio
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000368:Aged; D001021:Aortic Valve / Q000382:microbiology* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000382:microbiology; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000382:microbiology*; D003646:Debridement; D004696:Endocarditis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D016896:Treatment Outcome