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Updated: Aug 11, 2026

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Bypass Grafting for Myocardial Infarction From Endocarditis Embolus to the Left Anterior Descending
Rohun Bhagat1, Milind Desai2, Shinya Unai1
1Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Insights
Aortic valve endocarditis can cause heart attacks by blocking coronary arteries with emboli. Early surgery, including valve replacement and bypass grafting, successfully treated a patient with this rare complication.
Area of Science:
- Cardiovascular Medicine
- Cardiac Surgery
- Infectious Diseases
Background:
- Aortic valve endocarditis is a serious infection affecting the heart valve.
- Embolic occlusion of coronary arteries is a rare but life-threatening complication of endocarditis.
- ST-segment elevation myocardial infarction (STEMI) can result from coronary artery blockage.
Abstract:
A 67-year-old man with aortic valve endocarditis presented with acute ST-segment elevation myocardial infarction and was found to have embolic vegetation occlusion of the left anterior descending coronary artery. This patient was successfully treated with early aortic valve replacement, extraction of a vegetation embolus, and coronary artery bypass grafting over the site of extraction.
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