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Coronary Stent Infection in Acute Double Valve Endocarditis

Filip Stembal1, Maria Bakaeen1, Valentina Lara Erazo1

  • 1Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

JACC. Case Reports
|July 4, 2025
PubMed

Insights

A patient with aortic and mitral valve endocarditis experienced acute myocardial infarction, requiring percutaneous coronary intervention and stent placement. Subsequent echocardiogram confirmed endocarditis, and an abscess around the stent was surgically managed.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Infective endocarditis can present with diverse clinical manifestations, including acute coronary syndromes.
  • Aortic and mitral valve involvement are common in infective endocarditis.

Observation:

  • A patient presented with ST-segment elevation myocardial infarction, indicative of acute cardiac ischemia.
  • The patient underwent percutaneous coronary intervention with stent placement for the myocardial infarction.

Findings:

  • Transthoracic echocardiography confirmed the presence of aortic and mitral valve endocarditis.
  • Intraoperative findings revealed an abscess formation adjacent to the coronary stent.

Implications:

  • This case highlights the complex interplay between infective endocarditis and acute coronary syndromes.
  • Prompt diagnosis and multidisciplinary management are crucial for patients with endocarditis complicated by coronary intervention.
  • Surgical intervention may be necessary to manage complications such as abscesses in the context of endocarditis and stenting.

Keywords:
acute endocarditiscoronary stent infectionsurgical management

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