Myocardial infarction due to septic thromboembolism in chronic rheumatic heart disease.
Rachagiri SuneelAravind SekarSaurabh MehrotraUma Nahar SaikiaPublished in: Autopsy & case reports (2023)
Chronic rheumatic heart disease (RHD) is the most troublesome complication of rheumatic fever. Extensive valvular scarring and ventricular remodeling due to pressure and volume overload occur in chronic RHD. Deformed valves are at potential risk for developing infective endocarditis (IE) with further systemic embolism. We hereby describe a case of a patient diagnosed with chronic rheumatic heart disease and severe ventricular dysfunction, planned for aortic valve replacement. The patient developed septic shock during a hospital stay. The autopsy revealed infective endocarditis in the aortic valve with septic thromboembolism in the peripheral branches of the coronary artery and early multifocal myocardial infarction changes.
Keyphrases
- aortic valve
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- left ventricular
- heart failure
- transcatheter aortic valve replacement
- rheumatoid arthritis
- coronary artery
- pulmonary hypertension
- septic shock
- healthcare
- acute kidney injury
- case report
- oxidative stress
- atrial fibrillation
- early onset
- pulmonary artery
- single cell
- risk assessment
- human health
- adverse drug
- electronic health record