Subendocardial Infarction in Severe Bicuspid Aortic Stenosis Without Coronary Stenosis Confirmed by Contrast-enhanced Computed Tomography and Autopsy

A 59-year-old man with aortic stenosis (AS) showed cardiopulmonary arrest requiring extracorporeal circulation. Although coronary angiography did not show coronary artery stenosis, he had an elevated creatine kinase-myocardial band value of 1,298 U/L. Echocardiography revealed severe AS and global h...

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Veröffentlicht in:Internal Medicine 2022, pp.0109-22
Hauptverfasser: Akiyama, Takumi, Okoshi, Yuki, Takano, Toshiki, Yoshida, Tsuyoshi, Tanabe, Yasuhiko, Inomata, Takayuki
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container_end_page 1183
container_issue 8
container_start_page 0109-22
container_title Internal Medicine
container_volume 62
creator Akiyama, Takumi
Okoshi, Yuki
Takano, Toshiki
Yoshida, Tsuyoshi
Tanabe, Yasuhiko
Inomata, Takayuki
description A 59-year-old man with aortic stenosis (AS) showed cardiopulmonary arrest requiring extracorporeal circulation. Although coronary angiography did not show coronary artery stenosis, he had an elevated creatine kinase-myocardial band value of 1,298 U/L. Echocardiography revealed severe AS and global hypokinesia of the thickened myocardium. Contrast-enhanced computed tomography (CT) detected a circumferential subendocardial perfusion defect of the left ventricular myocardium. Eventually, the patient died from brain anoxia. Autopsy revealed circumferential subendocardial infarction of the left ventricular myocardium. This is the first case of circumferential subendocardial defect on CT corresponding to circumferential subendocardial infarction on autopsy in severe AS without coronary stenosis
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subjects Angiography
Anoxia
Aortic stenosis
Aortic valve stenosis
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - diagnostic imaging
Autopsy
Case Report
Computed tomography
Coronary artery
Coronary Stenosis - complications
Coronary Stenosis - diagnostic imaging
Creatine
Creatine kinase
Echocardiography
Heart
Humans
Internal medicine
Male
Middle Aged
myocardial infarction
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - etiology
Myocardium
Tomography, X-Ray Computed - methods
Ventricle
title Subendocardial Infarction in Severe Bicuspid Aortic Stenosis Without Coronary Stenosis Confirmed by Contrast-enhanced Computed Tomography and Autopsy
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