Join Us | Latest Articles | Contact

Journal Home


Editorial Board


Recent Articles


Submit to this journal


Special Issues


Current issue

Clinical Medical Image Library




A Different Form of Acute Myocardial Infarction!

Rita Ferreira*



Serviço de Cardiologia A, Centro Hospitalar e Universitário de Coimbra, Portugal.


*Corresponding author: Ana Rita Ferreira, cardiology resident, Serviço de Cardiologia A, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal, E-mail: ritafmup@gmail.com
Clin Med Img Lib, CMIL-2-026, (Volume 2, Issue 1); ISSN: 2474-3682
Published Date: January 30, 2016
Citation: Ferreira R (2016) A Different Form of Acute Myocardial Infarction!. Clin Med Img Lib 2:026
Copyright: © 2016 Ferreira R. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Keywords

Acute coronary syndrome, Complete left bundle branch block, Endocarditis

A 50-year old man was admitted to the emergency room due to severe dyspnea and thoracic pain with 3 hours of onset. He had no known history of cardiovascular disease, but he was recovering from drug addict. At the emergency room he was at cardiogenic shock requiring intubation and mechanical ventilation.

Physical exam was notable for diffuse lungs crackles. The heart sounds were normal and a grade III/VI systolic murmur was audible. The 12-lead electrocardiogram demonstrated sinus tachycardia and new complete left bundle branch block (Figure I).

The diagnosis of acute myocardial infarction with ST-segment elevation was done. The interventional cardiologist was contacted to perform primary angioplasty. The clinical cardiologist was also called, and during the waiting time for hemodynamic team he performed a transthoracic echocardiography. That showed a enlargement of left ventricle, with mild impaired function and a large mass in the ventricular side of the aortic valve, conditioning obstruction and major aortic valve insufficiency (Figure II). A transesophageal echocardiography was also perfumed and confirm the aortic valve destruction and a large paravalvular abscess involving the left sinus of Valsalva (Figure II and Figure III). Blood cultures were collected and empirical antibiotic therapy for endocarditis was initiated.

Coronary angiography was not performed due to the high risk of this procedure.

The case was discussed with the cardiac surgeon but they refused the patient and he died a few hours later.


International Journal of Anesthetics and Anesthesiology (ISSN: 2377-4630)
International Journal of Blood Research and Disorders   (ISSN: 2469-5696)
International Journal of Brain Disorders and Treatment (ISSN: 2469-5866)
International Journal of Cancer and Clinical Research (ISSN: 2378-3419)
International Journal of Clinical Cardiology (ISSN: 2469-5696)
Journal of Clinical Gastroenterology and Treatment (ISSN: 2469-584X)
Clinical Medical Reviews and Case Reports (ISSN: 2378-3656)
Journal of Dermatology Research and Therapy (ISSN: 2469-5750)
International Journal of Diabetes and Clinical Research (ISSN: 2377-3634)
Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
Journal of Genetics and Genome Research (ISSN: 2378-3648)
Journal of Geriatric Medicine and Gerontology (ISSN: 2469-5858)
International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
International Journal of Respiratory and Pulmonary Medicine (ISSN: 2378-3516)
Journal of Rheumatic Diseases and Treatment (ISSN: 2469-5726)
International Journal of Sports and Exercise Medicine (ISSN: 2469-5718)
International Journal of Stem Cell Research & Therapy (ISSN: 2469-570X)
International Journal of Surgery Research and Practice (ISSN: 2378-3397)
Trauma Cases and Reviews (ISSN: 2469-5777)
International Archives of Urology and Complications (ISSN: 2469-5742)
International Journal of Virology and AIDS (ISSN: 2469-567X)
More Journals

Contact Us

ClinMed International Library | Science Resource Online LLC
3511 Silverside Road, Suite 105, Wilmington, DE 19810, USA
Email: contact@clinmedlib.org
 

Feedback

Get Email alerts
 
Creative Commons License
Open Access
by ClinMed International Library is licensed under a Creative Commons Attribution 4.0 International License based on a work at https://clinmedjournals.org/.
Copyright © 2017 ClinMed International Library. All Rights Reserved.