Thrombus or vegetation: A mystery causing ST elevation myocardial infarction with infective endocarditis of mechanical aortic valve.

Autor: Khan SU; Guthrie Clinic/Robert Packer Hospital, Sayre, PA, 18850. Electronic address: safinmc@gmail.com., Lone AN; Guthrie Clinic/Robert Packer Hospital, Sayre, PA, 18850., Subramanian CR; Guthrie Clinic/Robert Packer Hospital, Sayre, PA, 18850., DePersis M; Guthrie Clinic/Robert Packer Hospital, Sayre, PA, 18850., Sporn D; Guthrie Clinic/Robert Packer Hospital, Sayre, PA, 18850.
Jazyk: angličtina
Zdroj: Cardiovascular revascularization medicine : including molecular interventions [Cardiovasc Revasc Med] 2017 Sep; Vol. 18 (6S1), pp. 19-22. Date of Electronic Publication: 2017 Mar 07.
DOI: 10.1016/j.carrev.2017.03.005
Abstrakt: Acute myocardial infarction (MI) in the setting of infective endocarditis (IE) of mechanical cardiac valve is a rare phenomenon. The most challenging aspect is the recognition between septic embolus versus thromboembolism from prosthesis in the setting of sub-therapeutic INR especially when the coronary vasculature is normal and etiology is not clear. We are presenting a case of 56-year-old patient who developed ST elevation MI during treatment of IE of mechanical aortic valve. Cardiac catheterization showed a very subtle blockade at most distal end of LAD therefore percutaneous coronary intervention (PCI) could not be carried out. Given the lack of clear etiology between septic embolus versus prosthesis associated thromboembolism, we opted for a successful conservative approach.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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