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Mitral Valve Infective Endocarditis Complicated With Coronary Artery Embolization
Cristina Carvalho Gouveia1, Inês Pimenta2, Marco Fernandes1
1Internal Medicine, Hospital São Francisco Xavier, Lisbon, PRT.
Cureus
|February 28, 2022
Summary
Infective endocarditis can cause dangerous septic emboli. This case highlights successful treatment of a rare coronary artery septic embolization complication with valve replacement and bypass grafting.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Infective endocarditis is a serious systemic infection affecting heart valves.
- Systemic embolization is a known complication, commonly affecting the spleen and central nervous system.
- Coronary artery septic embolization is an exceedingly rare but critical complication.
Observation:
- A 50-year-old male with mitral valve infective endocarditis presented with spleen and central nervous system emboli.
- Two weeks after initial diagnosis, the patient developed acute myocardial infarction.
- This indicated a rare coronary artery septic embolization event.
Findings:
- The patient's acute myocardial infarction was attributed to coronary artery septic embolization.
- Successful management was achieved through a combined surgical approach.
- This involved mitral valve replacement and coronary artery bypass grafting.
Implications:
- This case underscores the importance of considering coronary artery embolism in infective endocarditis patients with cardiac events.
- Combined valve surgery and revascularization can be an effective treatment strategy for this rare complication.
- Further research is needed to establish definitive management guidelines for coronary artery septic embolization.
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