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60M Acute Left Femoral Artery Embolism Secondary to Large Left Ventricular Outflow Tract and Mitral Valve Vegetations in a Patient with Hypertrophic Cardiomyopathy

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  60M with Acute Left Femoral Artery Embolism Secondary to Large Left Ventricular Outflow Tract and Mitral Valve Vegetations in a Patient with Hypertrophic Cardiomyopathy: A Case Report Abstract Background Systemic embolization is a serious complication of infective endocarditis (IE), particularly in patients with large mobile vegetations. Acute limb ischemia due to septic embolization is uncommon but requires urgent recognition and intervention. We report a case of acute left femoral artery embolism in a patient with hypertrophic cardiomyopathy (HCM) and echocardiographic evidence of large vegetations involving the left ventricular outflow tract (LVOT) and mitral valve. Case Presentation A 60-year-old man with hypertrophic cardiomyopathy, type 2 diabetes mellitus, hypertension, hypothyroidism, obesity with obstructive sleep apnea, and chronic smoking history presented with severe left lower limb pain of approximately three days’ duration. Vascular imaging demonstrated left f...
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54 M Acute Inferior Wall Myocardial Infarction Presenting as Acute Pulmonary Edema with Mobitz Type I AV Block in a Middle-Aged Diabetic Smoker Successfully Managed with Temporary Pacing and Culprit Vessel Revascularization

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  54M Acute Inferior Wall Myocardial Infarction Presenting as Acute Pulmonary Edema with Mobitz Type I AV Block in a Middle-Aged Diabetic Smoker Successfully Managed with Temporary Pacing and Culprit Vessel Revascularization Dr. Deepthi mam (DM cardiology ) Dr. Ashwini mam ( DNB cardiology ) Abstract Background: Inferior wall myocardial infarction (IWMI) may present with conduction disturbances and acute heart failure. Early recognition and prompt revascularization remain crucial for favorable outcomes. Case Presentation: A 54-year-old male, known diabetic for 2 years, chronic smoker, and alcohol consumer, presented with progressive exertional dyspnea for 3–4 days that acutely worsened to severe breathlessness at rest on the morning of admission. The episode was associated with chest discomfort and diaphoresis. On presentation, he was tachypneic, hypotensive, hypoxemic, and had elevated jugular venous pressure with bilateral basal crepitations. Electrocardiography demonstrated...
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