Acute myocardial infarction caused by coronary embolism from Aspergillus endocarditis.
Although the primary cause of acute coronary syndrome is atherosclerotic disease, it is important to include other causes of acute myocardial infarction. This report describes the case of a 53-year-old man with acute myeloid leukemia, who was referred to our cardiology department for treatment of acute myocardial infarction with ST segment elevation on an electrocardiogram. Portable echocardiography showed large areas of vegetation on the anterior mitral leaflet, while coronary angiography demonstrated the total occlusion of the left anterior descending artery. A histologic examination of the embolectomy specimen confirmed the presence of Aspergillus fungal thrombi. This report highlights a rare case of fatal Aspergillus endocarditis with myocardial infarction due to embolism in an immunosuppressed patient.
Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University of College, Korea.
Guang-Won
GW
Seo
Sang-Hoon
SH
Seol
Tae-Hun
TH
No
Hui-Jeong
HJ
Jeong
Tae-Jin
TJ
Kim
Jae-Kyun
JK
Kim
Pil-Sang
PS
Song
Dong-Kie
DK
Kim
Ki-Hun
KH
Kim
Doo-Il
DI
Kim
D000208:Acute Disease; D001230:Aspergillus / Q000302:isolation & purification*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D004617:Embolism / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D062645:Percutaneous Coronary Intervention