Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2918152 | Heart, Lung and Circulation | 2012 | 4 Pages |
Coronary artery septic embolisation resulting in cardioembolic myocardial infarction (MI) is a rare complication of bacterial infective endocarditis (IE), representing <1% of complications related to IE [1]. Diagnosis requires a combination of high clinical suspicion, coronary angiography, echocardiography and cultures of peripheral blood and/or embolic material. The associated mortality rate remains high despite early diagnosis [2]. Optimal interventional therapy is unknown with published international experience over the past two decades limited to very small case series and individual case reports [3]. We present a case of ST elevation MI resulting from coronary artery septic embolisation with an accompanying comprehensive review of the literature.