Key result
Intraoperative TEE identifies left coronary ostial vegetation occluding flow during endocarditis repair.
Why the study?
Acute coronary syndrome is a rare complication of infective endocarditis, and transesophageal echocardiography is important to evaluate coronary ostium obstruction by vegetation.
Population
1 patient with infective endocarditis and severe rheumatic aortic stenosis
Comparison
Not applicable; case report of vegetation partially occluding left coronary ostium
Design
Case report with intraoperative transesophageal echocardiography
Follow-up
28 days postoperative
Authors
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May prompt TEE assessment of coronary ostia in aortic valve IE; leaves open whether this alters perioperative ACS risk.
Case Report (n=1)
No
Intraoperative TEE is a valuable tool for evaluating vegetation size and location, particularly for detecting rare complications like coronary ostium occlusion in infective endocarditis.
Kim et al. (2015) conducted a case report in Infective endocarditis (n=1). Transesophageal echocardiography (TEE) and surgical valve replacement was evaluated on Patient outcome. Intraoperative transesophageal echocardiography successfully identified a mobile vegetation partially occluding the left coronary ostium in a patient with infective endocarditis.
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