Korean J Anesthesiol.  2015 Jun;68(3):292-294. 10.4097/kjae.2015.68.3.292.

Transesophageal imaging of a left main coronary artery ostium occlusion in infective endocarditis: a case report

Affiliations
  • 1Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. md.baeksh@gmail.com

Abstract

A 43-year-old woman was admitted due to fever, chills, and headache for several days and was diagnosed as infective endocarditis. Intraoperative transesophageal echocardiography (TEE) examination confirmed severe aortic stenosis and showed relatively fresh 1.5 cm vegetation on the left coronary cusp of the aortic valve (AV) with frequent diastolic prolapse into the aortic root. This mobile vegetation partially occluded left coronary ostium, but it did not cause cardiac failure. TEE showed the vegetation to be in good position across the AV. The AV replacement with removal of vegetation and mitral valvuloplasty were performed. The patient was weaned from cardiopulmonary bypass without any hemodynamic instability or changes in ST segment on electrocardiography. She was discharged on the 28th postoperative day without any complication.

Keyword

Coronary artery; Infective endocarditis; Occlusion; TEE

MeSH Terms

Adult
Aortic Valve
Aortic Valve Stenosis
Cardiopulmonary Bypass
Chills
Coronary Vessels*
Echocardiography, Transesophageal
Electrocardiography
Endocarditis*
Female
Fever
Headache
Heart Failure
Hemodynamics
Humans
Prolapse
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