title: An uncommon complication of infective bacterial endocarditis.
abstract: 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. 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. Optimal interventional therapy is unknown with published international experience over the past two decades limited to very small case series and individual case reports. We present a case of ST elevation MI resulting from coronary artery septic embolisation with an accompanying comprehensive review of the literature.
authors.affiliation: Division of Medicine, Middlemore Hospital, Private Bag 93311, Hospital Road, Otahuhu, Auckland 1640, New Zealand. drjoeyyeoh@gmail.com
authors.forename: Joey
authors.initials: J
authors.lastname: Yeoh
authors.forename: Tina
authors.initials: T
authors.lastname: Sun
authors.forename: Mark
authors.initials: M
authors.lastname: Hobbs
authors.forename: Jen-Li
authors.initials: JL
authors.lastname: Looi
authors.forename: Selwyn
authors.initials: S
authors.lastname: Wong
mesh_terms: D000368:Aged; D003331:Coronary Vessels; D004562:Electrocardiography; D004617:Embolism / Q000175:diagnosis / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications*