Acute Inferior Myocardial Infarction due to Septic Embolism into the Left Anterior Descending Artery from Infected Bicuspid Aortic Valve in A Young Man.
10.4070/kcj.2001.31.3.353
- Author:
In Jae OH
;
Myung Ho JEONG
;
Kyung Tae KANG
;
Jay Young RHEW
;
Sang Hyung LEE
;
Jong Cheol PARK
;
Young Keun AHN
;
Jeong Gwan CHO
;
Byoung Hee AHN
;
Sang Hyung KIM
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- MeSH:
Aortic Valve*;
Arteries*;
Bicuspid*;
Chest Pain;
Coronary Vessels;
Electrocardiography;
Embolism*;
Fever;
Inferior Wall Myocardial Infarction*
- From:Korean Circulation Journal
2001;31(3):353-358
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A bicuspid aortic valve is one of common congenital cardiac anomaly. But the septic embolism from bicuspid aortic valve into the left anterior descending artery (LAD) resulting in acute inferior myocardial infarction is very rare. A twenty eight year-old man suffered from severe chest pain and fever of four-week's duration. Acute inferior myocardial infarction was diagnosed on electrocardiogram. Transesophageal echocardiogram demonstrated vegetation on the bicuspid aortic valve directed into left coronary artery ostium, and diagnostic coronary angiogram revealed round filling defect within the distal LAD. He underwent operation for aortic valve replacement, which indicated vegetated bicuspid aortic valve directed into the ostium of left coronary artery.
