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Infective Aortic Valve Endocarditis Causing Embolic Consecutive ST-Elevation Myocardial Infarctions

Kanksha Peddi1, Alexander L Hsu2, Tomas H Ayala2

  • 1Saba University School of Medicine, Saba, Dutch Caribbean, Netherlands.

Case Reports in Cardiology
|November 19, 2019
PubMed

Insights

Infective endocarditis of the aortic valve can cause ST-elevation myocardial infarction (STEMI) by embolizing to multiple coronary arteries. This rare complication highlights challenges in managing embolic myocardial infarction.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • ST-elevation myocardial infarction (STEMI) is a serious complication of infective endocarditis.
  • Embolic events from aortic valve infective endocarditis can lead to myocardial infarction.

Observation:

  • This case details the ninth instance of embolic native aortic valve infective endocarditis causing STEMI.
  • It is the first reported case of consecutive embolisms affecting separate coronary territories.

Findings:

  • Infective endocarditis of the aortic valve frequently affects multiple myocardial territories consecutively.
  • Current treatments for embolic infective endocarditis causing acute myocardial infarction are limited and lack proven efficacy.

Implications:

  • This case underscores the potential severity of infective endocarditis complications.
  • There is a critical need for standardized management strategies for patients with embolic STEMI due to infective endocarditis.

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