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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

32
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
32
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

28
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
28
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

22
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
22
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

39
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
39
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

80
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
80
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

49
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
49

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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
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Summary
This summary is machine-generated.

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.

Keywords:
acute endocarditiscoronary stent infectionsurgical management

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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.