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Left main occlusion secondary to infective endocarditis vegetation: "The unusual suspect"

Marco Pavani1, Federico Conrotto1, Fabrizio D'Ascenzo1

  • 1Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|January 9, 2017
PubMed

Insights

Septic coronary embolism causing acute coronary syndrome is rare. This case highlights a patient with valvular endocarditis who developed cardiogenic shock due to a left main coronary artery embolism.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Valvular endocarditis can lead to septic emboli.
  • Septic coronary embolism is a rare but serious complication.
  • Acute coronary syndrome (ACS) in this context presents diagnostic and therapeutic challenges.

Observation:

  • A patient presented with chest pain and cardiogenic shock.
  • Coronary angiography revealed a large filling defect in the left main coronary artery.
  • The defect was consistent with a septic coronary embolism.

Findings:

  • The patient's ACS was secondary to septic coronary embolism from valvular endocarditis.
  • The left main coronary artery was significantly affected.

Implications:

  • This case underscores the importance of considering septic coronary embolism in patients with endocarditis and ACS.
  • Management strategies for this rare condition require careful consideration.
  • Further research is needed to establish optimal treatment protocols for septic coronary embolism.

Keywords:
Acute coronary syndrome coronary angiographyInfective endocarditis

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