title: Aortic valve endocarditis complicated by ST-elevation myocardial infarction.
abstract: Infective endocarditis complicated by abscess formation and coronary artery compression is a rare clinical event with a high mortality rate, and diagnosis requires a heightened degree of suspicion. We present the clinical, angiographic, and echocardiographic features of a 73-year-old woman who presented with dyspnea and was found to have right coronary artery compression that was secondary to abscess formation resulting from diffuse infectious endocarditis. We discuss the patient's case and briefly review the relevant medical literature. To our knowledge, this is the first reported case of abscess formation involving a native aortic valve and the right coronary artery.
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Jenny
authors.forename: Yassar
authors.initials: Y
authors.lastname: Almanaseer
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology*; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000175:diagnosis; D001027:Aortography / Q000379:methods; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology*; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D011237:Predictive Value of Tests; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abscess/complications; aortic diseases/complications; coronary stenosis/etiology; diagnosis, differential; endocarditis, bacterial/complications; fatal outcome; heart valve diseases/diagnosis