title: Nonbacterial thrombotic endocarditis with ST-elevation myocardial infarction treated with percutaneous coronary aspiration thrombectomy.
abstract: ST-elevation myocardial infarction from coronary embolus is a rare complication of nonbacterial thrombotic endocarditis, with little data on therapeutic management. We present a novel use of percutaneous coronary aspiration thrombectomy using an Export(®) catheter resulting in successful restoration of normal coronary blood flow. We also demonstrated complete resolution of the thrombotic valvular lesion with double antiplatelet and anticoagulation therapy alone. The clinical manifestations and management of coronary embolisation from nonbacterial thrombotic endocarditis are reviewed.
authors.affiliation: Southern Blood and Cancer Service, Dunedin Hospital, Dunedin, New Zealand. ingsoo.tiong@southerndhb.govt.nz
authors.forename: Ing S
authors.initials: IS
authors.lastname: Tiong
authors.forename: Michael J A
authors.initials: MJ
authors.lastname: Williams
authors.forename: David J
authors.initials: DJ
authors.lastname: Perez
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage*; D003326:Coronary Circulation / Q000187:drug effects; D059905:Endocarditis, Non-Infective / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*; D062645:Percutaneous Coronary Intervention; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage*; D013927:Thrombosis / Q000150:complications / Q000628:therapy*
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors