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Septic coronary embolism in aortic valvular endocarditis.
Anitha Kessavane1, Paul Marticho, Elie Zogheib
1Department of Anesthesiology, South Hospital, Laennec avenue 80054, Amiens, Salouel, France.
The Journal of Heart Valve Disease
|January 27, 2010
Summary
Septic coronary emboli causing myocardial infarction in infective endocarditis is rare but serious. This case highlights the critical need for prompt diagnosis and intervention for this potentially fatal condition.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Infective endocarditis can lead to serious cardiac complications.
- Septic coronary emboli are a rare but life-threatening complication of infective endocarditis.
Observation:
- A 58-year-old man presented with wrist arthritis, progressing to acute aortic valvular endocarditis.
- Echocardiography showed aortic valve vegetations and significant aortic regurgitation.
- The patient developed acute anterior chest pain after initial antibiotic treatment.
Findings:
- Coronary angiography revealed left anterior descending (LAD) artery stenosis caused by septic embolism.
- Emergency cardiac surgery included thrombectomy, coronary artery bypass grafting, and aortic valve replacement.
Implications:
- This case underscores the importance of considering septic coronary embolism in patients with infective endocarditis presenting with cardiac symptoms.
- Prompt surgical intervention is crucial for managing acute myocardial infarction secondary to septic emboli.
- Successful management involves a multidisciplinary approach including antibiotics and surgical repair.
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