Infective Endocarditis Presenting as ST-Elevation Myocardial Infarction: An Angiographic Diagnosis

被引：9

作者：

Hibbert, Benjamin ^{[1
]}

Kazmi, Mustapha ^{[1
]}

Veinot, John P. ^{[2
]}

O'Brien, Edward R. ^{[1
]}

Glover, Christopher ^{[1
]}

机构：

[1] Univ Ottawa, Inst Heart, Div Cardiol, Ottawa, ON K1Y 4W7, Canada

[2] Univ Ottawa, Inst Heart, Div Anat Pathol, Ottawa, ON K1Y 4W7, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2012年 / 28卷 / 04期

关键词：

SURGERY;

D O I：

10.1016/j.cjca.2012.01.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

While systemic embolic events occur with relative frequency in infective endocarditis (IE), coronary embolization remains an uncommon cause of ST elevation myocardial infarction. Herein we report a case of ventricular fibrillation and anterior ST elevation myocardial infarction occurring in a patient initially presenting with septic shock. Angiography proved diagnostic for IE of a native bicuspid aortic valve complicated by root abscess and left anterior descending artery occlusion. Histologic examination of the embolectomy specimen from the left anterior descending artery confirmed the presence of thrombus and bacteria. The present case highlights difficulties in identifying and managing patients with coronary embolism of vegetations from IE.

引用

页码：515.e15 / 515.e17

页数：3

共 5 条

[1]

Baddour LM, 2005, CIRCULATION, V111, pE394, DOI 10.1161/CIRCULATIONAHA.105.165564

[2] Mitral valve surgery with surgical embolectomy for mitral valve endocarditis complicated by septic coronary embolism [J].