The Short Life of an Aortic Cusp Aneurysm: A Case Report

This report describes a 42‐year‐old man with a history of lymphoma who is admitted with symptoms of chest pain, ST elevation changes, and elevated troponins. Immediate bedside echocardiographic evaluation led to an aborted urgent coronary angiography and a diagnosis of presumed endocarditis. Transes...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2015-05, Vol.32 (5), p.868-871
Main Authors: Vahdat, Khashayar, Patel, Srujal, Banchs, Jose
Format: Article
Language:English
Subjects:
Adult
Aortic Aneurysm - complications
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - surgery
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
Cefazolin - therapeutic use
Daptomycin - therapeutic use
Echocardiography, Transesophageal
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation
Humans
Male
Pericarditis - complications
Pericarditis - drug therapy
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Summary:This report describes a 42‐year‐old man with a history of lymphoma who is admitted with symptoms of chest pain, ST elevation changes, and elevated troponins. Immediate bedside echocardiographic evaluation led to an aborted urgent coronary angiography and a diagnosis of presumed endocarditis. Transesophageal echocardiography (TTE) subsequently revealed an aortic noncoronary cusp aneurysm masking as vegetation. The rapid assessment by TTE and transesophageal echocardiogram prevented an alternate course for this patient's management. We reviewed the necessity of heart catheterization in patients with significantly elevated troponins, pericarditis symptoms, and the rare sighting of aortic valve cusp aneurysms. Mini‐ This report describes the case of a young man with a history of lymphoma, admitted with symptoms of chest pain, ST elevation changes, and elevated troponins. Immediate bedside echocardiographic evaluation led to an aborted urgent coronary angiography and a diagnosis of presumed endocarditis. Transesophageal echocardiography (TTE) subsequently revealed an aortic noncoronary cusp aneurysm masking as vegetation. The rapid assessment by TTE and transesophageal echocardiogram prevented an alternate course for this patient's management. We reviewed the necessity of heart catheterization in patients with significantly elevated troponins, pericarditis symptoms, and the rare sighting of aortic valve cusp aneurysms.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.12844