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dc.contributorPalasubramaniam, J.en_US
dc.contributorSharma, A.en_US
dc.contributorOqueli, Ernestoen_US
dc.description.abstractST elevation myocardial infarction (STEMI) is an uncommon complication of infective endocarditis. We present a case of a 65-year-old male admitted with STEMI who was subsequently found to have a large aortic valve vegetation. The patient presented with angina and inferior STEMI complicated by ventricular fibrillation. Coronary angiography revealed acute distal posterior descending artery occlusion, with no discernible stenosis observed after wiring the vessel during the primary percutaneous intervention. This raised the suspicion of an embolic cause. Transthoracic echocardiography demonstrated a mobile mass attached to a bicuspid aortic valve. There were no symptoms or signs of infective endocarditis other than a 3-week history of fatigue. Transoesophageal echocardiography confirmed a 0.7 cm mobile mass attached to the aortic valve. He underwent emergent aortic valve replacement with a bioprosthesis. Histological examination confirmed a vegetation though tissue and blood culture did not yield an organism. The patient was treated with 6 weeks of intravenous antibiotics and has recovered well.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2019-03-05T04:14:40Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2019-04-05T05:50:22Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-04-05T05:50:22Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.titleInfective endocarditis presenting as inferior ST-elevation myocardial infarction.en_US
dc.bibliographicCitation.conferencedateAugust 10th- 13then_US
dc.bibliographicCitation.conferencename65th Cardiac Society of Australia and New Zealand Annual Scientific Meeting and the International Society for Heart Research Australasian Section Annual Scientific Meeting.en_US
dc.bibliographicCitation.conferenceplacePerth, Australiaen_US
dc.subject.healththesaurusAORTIC VALVE VEGETATIONen_US
dc.subject.healththesaurusMOBILE MASSen_US
dc.subject.healththesaurusBICUSPID AORTIC VALVEen_US
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