title: [Acute embolic myocardial infarction complicating bioprosthetic stentless aortic valve endocarditis].
abstract: We describe the case of bioprosthetic stentless aortic valve endocarditis due to Staphylococcus epidermidis in a female patient, who previously underwent mitral and aortic valve replacement: she presented left main coronary artery occlusion due to septic embolus with subsequent myocardial infarction complicated by cardiogenic shock. We discuss the therapeutic strategies, both medical and interventional, and the surgical options.
authors.affiliation: U.O. di Cardiologia Riabilitativa Fondazione Don Gnocchi ONLUS Via Capecelatro, 66 20148 Milano. cardiologia@dongnocchi.it
authors.forename: Gabriella
authors.initials: G
authors.lastname: Brambilla
authors.forename: Maurizio
authors.initials: M
authors.lastname: Ferratini
authors.forename: Joanna
authors.initials: J
authors.lastname: Heyman
authors.forename: Vittorio
authors.initials: V
authors.lastname: Racca
authors.forename: Paolo
authors.initials: P
authors.lastname: Danna
authors.forename: Massimo
authors.initials: M
authors.lastname: Lemma
authors.forename: Carlo
authors.initials: C
authors.lastname: Antona
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve; D001705:Bioprosthesis; D017023:Coronary Angiography; D003331:Coronary Vessels; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000150:complications*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D013902:Radiography, Thoracic; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents