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STEMI due to septic embolism from prosthetic aortic valve Aspergillus spp. Endocarditis in an immunocompetent patient.
  • +3
  • coral Serrano Arroyo,
  • Luis Sánchez Trujillo,
  • Alan León Bojórquez,
  • José Leal Franco,
  • Amalia Castro Rodríguez,
  • Rosa Mejía Bañuelos
coral Serrano Arroyo
Mexican Social Security Institute
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Luis Sánchez Trujillo
Instituto Mexicano del Seguro Social
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Alan León Bojórquez
Instituto Mexicano del Seguro Social
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José Leal Franco
Instituto Mexicano del Seguro Social
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Amalia Castro Rodríguez
Instituto Mexicano del Seguro Social
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Rosa Mejía Bañuelos
Instituto Mexicano del Seguro Social
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Abstract

A 65-year-old man with a history of aortic valve replacement surgery and non-coronary artery disease was admitted to the emergency department with acute ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed left anterior descending (LAD) artery occlusion, which was treated successfully with angioplasty. The patient developed obstructive valvular dysfunction, and large vegetation was observed on echocardiography. The patient subsequently developed irreversible septic shock and died several days later. The pathology report identified Aspergillus as the etiologic agent.