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

Related Experiment Video

Updated: Apr 25, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

10.5K

Adam P Rischin1, Philip Carrillo1, Jamie Layland1

  • 1Department of Cardiology, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia.

Heart, Lung & Circulation
|August 25, 2014
PubMed

Insights

A 42-year-old woman experienced myocardial infarction due to infective endocarditis. Treatment involved addressing both the infection and the resulting coronary artery occlusions, highlighting unique management challenges.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Echocardiography

Background:

  • Infective endocarditis can lead to embolic events affecting coronary arteries.
  • ST-elevation myocardial infarction is a critical manifestation of coronary artery disease.

Purpose of the Study:

  • To present a unique case of infective endocarditis causing multi-territory ST-elevation myocardial infarction.
  • To discuss the complex management strategies for endocarditis-associated myocardial infarction.

Main Methods:

  • Case report of a 42-year-old female patient.
  • Diagnostic angiography to identify coronary artery occlusions.
  • Transoesophageal echocardiogram to visualize cardiac structures and identify the source of embolism.

Main Results:

  • The patient presented with ST-elevation myocardial infarction in two coronary territories (LAD and OM1).
  • Angiography confirmed multi-embolic occlusions.
  • Transoesophageal echocardiogram revealed a lesion on the aortic valve, indicative of infective endocarditis.

Conclusions:

  • Infective endocarditis is a rare but serious cause of myocardial infarction.
  • Management requires a multidisciplinary approach, addressing both cardiac and infectious aspects.
  • Reperfusion strategies must be carefully considered in the context of endocarditis-associated myocardial infarction.

Keywords:
Bacterial endocarditisCardiologyMyocardial infarctionPercutaneous coronary interventionThrombectomy

More Related Videos

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.9K
Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.3K

Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
862
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
359
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
918
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.1K
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
627