Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Visit old site
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 858
CASE REPORT
Year : 2012  |  Volume : 4  |  Issue : 8  |  Page : 373-375

"Snake" Shaped Vegetation in Right Coronary Artery


1 Department of Internal Medicine, Banner Estrella Medical Center, Phoenix, AZ, USA
2 Department of Internal Medicine, McLaren Regional Medical Center, Flint, MI, USA
3 Department of Cardiology, Banner Estrella Medical Center, Phoenix, AZ, USA

Correspondence Address:
Punnaiah C Marella
5516, W Parsons Road, Phoenix, AZ - 85083
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.99524

Rights and Permissions

Infective endocarditis is a rare cause of coronary embolism. This can result in myocardial infarction. Prompt identification is necessary as management is different from a regular myocardial infarction. Unlike in regular myocardial infarction, use of thrombolytics in this scenario could result in life-threatening complications and hence not indicated. In a patient who appears to be septic, embolic myocardial infarction should always be in the working differential diagnosis. An early transesophageal echocardiogram and cardiac catheterization could assist in diagnosis and management. We present an interesting case of a 45-year-old man who was admitted with vision loss, fevers and was found to have a non-ST segment elevation myocardial infarction. He had persistent bacteremia and developed systemic emboli. Investigation revealed mitral valve vegetation and a cardiac catheterization showed an interesting "snake"-shaped embolic vegetation in right coronary artery. He was treated with surgery to the mitral valve and antibiotics. In a septic patient with myocardial infarction, possibility of coronary embolism from vegetation should be kept in mind.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1594    
    Printed81    
    Emailed0    
    PDF Downloaded210    
    Comments [Add]    
    Cited by others 2    

Recommend this journal