Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia

Juan Lacalzada-Almeida,1 Alejandro De la Rosa-Hernández,1 María Manuela Izquierdo-Gómez,1 Javier García-Niebla,2 Iván Hernández-Betancor,1 Juan Alfonso Bonilla-Arjona,3 Antonio Barragán-Acea,1 Ignacio Laynez-Cerde&ntild...

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Autores principales:	Lacalzada-Almeida J, De la Rosa-Hernández A, Izquierdo-Gómez MM, García-Niebla J, Hernández-Betancor I, Bonilla-Arjona JA, Barragán-Acea A, Laynez-Cerdeña I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	pseudoaneurysm infective endocarditis myocardial ischemia aortic valve prosthesis. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2edf60fbc78e4a4ba32211d1d9eb5bd8
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spelling	oai:doaj.org-article:2edf60fbc78e4a4ba32211d1d9eb5bd82021-12-02T05:33:11ZCompression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia1178-1998https://doaj.org/article/2edf60fbc78e4a4ba32211d1d9eb5bd82017-12-01T00:00:00Zhttps://www.dovepress.com/compression-of-the-right-coronary-artery-by-an-aortic-pseudoaneurysm-a-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Juan Lacalzada-Almeida,1 Alejandro De la Rosa-Hernández,1 María Manuela Izquierdo-Gómez,1 Javier García-Niebla,2 Iván Hernández-Betancor,1 Juan Alfonso Bonilla-Arjona,3 Antonio Barragán-Acea,1 Ignacio Laynez-Cerdeña1 1Cardiology Department, Hospital Universitario de Canarias, Tenerife, 2Health services from the Health Area of El Hierro, Valle del Golfo Health Center, El Hierro, 3Radiology Department, Hospital Universitario de Canarias, Tenerife, Spain Abstract: A 61-year-old male with a prosthetic St Jude aortic valve size 24 presented with heart failure symptoms and minimal-effort angina. Eleven months earlier, the patient had undergone cardiac surgery because of an aortic root dilatation and bicuspid aortic valve with severe regurgitation secondary to infectious endocarditis by Coxiela burnetii and coronary artery disease in the left circumflex coronary artery. Then, a prosthesis valve and a saphenous bypass graft to the left circumflex coronary artery were placed. The patient was admitted to the Cardiology Department of Hospital Universitario de Canarias, Tenerife, Spain and a transthoracic echocardiography was performed that showed severe paraprosthetic aortic regurgitation and an aortic pseudoaneurysm. The 64-slice multidetector computed tomography confirmed the pseudoaneurysm, originating from the right sinus of Valsalva, with a compression of the native right coronary artery and a normal saphenous bypass graft. On the basis of these findings, we performed surgical treatment with a favorable postoperative evolution. In our case, results from complementary cardiac imaging techniques were crucial for patient management. The multidetector computed tomography allowed for a confident diagnosis of an unusual mechanism of coronary ischemia. Keywords: pseudoaneurysm, infective endocarditis, myocardial ischemia, aortic valve prosthesisLacalzada-Almeida JDe la Rosa-Hernández AIzquierdo-Gómez MMGarcía-Niebla JHernández-Betancor IBonilla-Arjona JABarragán-Acea ALaynez-Cerdeña IDove Medical Pressarticlepseudoaneurysminfective endocarditismyocardial ischemiaaortic valve prosthesis.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 9-11 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	pseudoaneurysm infective endocarditis myocardial ischemia aortic valve prosthesis. Geriatrics RC952-954.6
spellingShingle	pseudoaneurysm infective endocarditis myocardial ischemia aortic valve prosthesis. Geriatrics RC952-954.6 Lacalzada-Almeida J De la Rosa-Hernández A Izquierdo-Gómez MM García-Niebla J Hernández-Betancor I Bonilla-Arjona JA Barragán-Acea A Laynez-Cerdeña I Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
description	Juan Lacalzada-Almeida,1 Alejandro De la Rosa-Hernández,1 María Manuela Izquierdo-Gómez,1 Javier García-Niebla,2 Iván Hernández-Betancor,1 Juan Alfonso Bonilla-Arjona,3 Antonio Barragán-Acea,1 Ignacio Laynez-Cerdeña1 1Cardiology Department, Hospital Universitario de Canarias, Tenerife, 2Health services from the Health Area of El Hierro, Valle del Golfo Health Center, El Hierro, 3Radiology Department, Hospital Universitario de Canarias, Tenerife, Spain Abstract: A 61-year-old male with a prosthetic St Jude aortic valve size 24 presented with heart failure symptoms and minimal-effort angina. Eleven months earlier, the patient had undergone cardiac surgery because of an aortic root dilatation and bicuspid aortic valve with severe regurgitation secondary to infectious endocarditis by Coxiela burnetii and coronary artery disease in the left circumflex coronary artery. Then, a prosthesis valve and a saphenous bypass graft to the left circumflex coronary artery were placed. The patient was admitted to the Cardiology Department of Hospital Universitario de Canarias, Tenerife, Spain and a transthoracic echocardiography was performed that showed severe paraprosthetic aortic regurgitation and an aortic pseudoaneurysm. The 64-slice multidetector computed tomography confirmed the pseudoaneurysm, originating from the right sinus of Valsalva, with a compression of the native right coronary artery and a normal saphenous bypass graft. On the basis of these findings, we performed surgical treatment with a favorable postoperative evolution. In our case, results from complementary cardiac imaging techniques were crucial for patient management. The multidetector computed tomography allowed for a confident diagnosis of an unusual mechanism of coronary ischemia. Keywords: pseudoaneurysm, infective endocarditis, myocardial ischemia, aortic valve prosthesis
format	article
author	Lacalzada-Almeida J De la Rosa-Hernández A Izquierdo-Gómez MM García-Niebla J Hernández-Betancor I Bonilla-Arjona JA Barragán-Acea A Laynez-Cerdeña I
author_facet	Lacalzada-Almeida J De la Rosa-Hernández A Izquierdo-Gómez MM García-Niebla J Hernández-Betancor I Bonilla-Arjona JA Barragán-Acea A Laynez-Cerdeña I
author_sort	Lacalzada-Almeida J
title	Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
title_short	Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
title_full	Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
title_fullStr	Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
title_full_unstemmed	Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
title_sort	compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/2edf60fbc78e4a4ba32211d1d9eb5bd8
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Compression of the right coronary artery by an aortic pseudoaneurysm after infective endocarditis: an unusual case of myocardial ischemia

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