Acute myocardial infarction after aortic valve endocarditis

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Presentation transcript:

Acute myocardial infarction after aortic valve endocarditis Allen Jeremias, MD, Ivan Casserly, MD, J.Murray Estess, MD, Nicholas G. Smedira, MD, Eric J. Topol, MD The American Journal of Medicine Volume 110, Issue 5, Pages 417-418 (April 2001) DOI: 10.1016/S0002-9343(00)00751-8

Figure 1 A. Twelve-lead electrocardiogram at the time of first presentation. Note ST-segment elevation in leads V1 through V5 as well as aVR with reciprocal changes in the lateral leads. Also note presence of left anterior hemiblock. B. Transesophageal echocardiography in plane of aortic valve prosthesis. Note the large cavity (arrows) in the region of the left coronary cusp extending below the pulmonary artery bifurcation with mural thrombus formation. C. Left coronary angiography with long smooth stricture of proximal left anterior descending coronary artery (arrow). D. Intraoperative photograph showing the intact aortic valve prosthesis and the aortic pseudoaneurysm adjacent to the valve. There was separation of the left ventricular outflow tract and the aorta over two thirds of the circumference with continuation of the cavity underneath the pulmonary artery and compression of the left anterior descending coronary artery. The American Journal of Medicine 2001 110, 417-418DOI: (10.1016/S0002-9343(00)00751-8)