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Clinical Trial
. 2015 Jan;24(1):e1-3.
doi: 10.1016/j.hlc.2014.07.070. Epub 2014 Aug 6.

Multi-embolic ST-elevation myocardial infarction secondary to aortic valve endocarditis

Adam P Rischin  1 , Philip Carrillo  2 , Jamie Layland  2
Affiliations
Clinical Trial

Multi-embolic ST-elevation myocardial infarction secondary to aortic valve endocarditis

Adam P Rischin et al. Heart Lung Circ. 2015 Jan.

Abstract

We present the case of a 42 year-old woman admitted to hospital with ST-elevation myocardial infarction involving two separate coronary territories. Angiography revealed multi-embolic occlusions of her left anterior descending (LAD) and first obtuse marginal (OM1) coronary arteries. Transoesophageal echocardiogram (TOE) showed a lesion attached to the left cusp of the aortic valve and she was treated for infective endocarditis. We discuss the management issues raised from this unique patient, including reperfusion strategies in endocarditis-associated myocardial infarction.

Keywords: Bacterial endocarditis; Cardiology; Myocardial infarction; Percutaneous coronary intervention; Thrombectomy.

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