STEMI due to septic embolism from prosthetic aortic valve Aspergillus
spp. Endocarditis in an immunocompetent patient.
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.