Sudden circulatory collapse caused by mechanical obstruction of the left main coronary trunk with infective endocarditis vegetation: a case report

Surgical Case Reports

Table 1 Eight cases of ACS in IE induced by a mechanical obstruction

Case type	Occluded coronary artery		Alive or death	IE affected valve	Conducted surgery	Symptoms	Age/Sex	Author [Ref.]
Surgical case	Right		Alive	Aortic, Mitral	Aortic/mitral valve replacement	STEMI	47/F	Casazza [1]
	Right		Alive	Aortic	Aortic valve debriedment + PCI	STEMI → Vf arrest	53/F	Bolton [2]
	Left	Left coronary ostium partial occlusion	Alive	Aortic	Aortic valve replacement, mitral valve annuloplasty	Af/acute plmonary edema	43/F	Kim [3]
		LMT-proximal LAD, LCx ostium	Alive	Aortic	Aortic valve replacement + coronary bypass grafting	NSTEMI with plmonary edema	66/M	Pavani [4]
		LMT	Death	Aortic, mitral	Aortic/mitral valve replacement + coronary bypass grafting	Asystole	68/F	Our case
Autopsy case	Right		Death	Aortic			49/M	Ro [5]
	Left	LMT	Death	Aortic		Abdominal pain	44/M	Dowling [6]
		LMT	Death	Aortic			21/F	Fernando [7]
–		–	–	Bioprosthetic aortic valve			–	Roux [8]

LMT left main coronary trunk, STEMI ST-elevation myocardial infarction, F female, M male