title: Effectiveness of mechanical embolectomy for septic embolus in the cerebral artery complicated with infective endocarditis.
abstract: There has been a controversy over data of thrombolytic and endovascular surgical treatment about cerebral infarction secondary to infective endocarditis. We report a woman who received early mechanical embolectomy as a treatment of acute stroke with infective endocarditis. A 35-yr-old woman was hospitalized due to right hemiparesis. Brain image showed cerebral infarction at the middle cerebral artery and echocardiography demonstrated vegetation at the mitral valve. She was successfully treated with embolectomy and parenteral antibiotics without any neurologic sequelae. This report shows that the early retrieve of septic cerebral emboli can be a helpful treatment of acute stroke associated with endocarditis.
authors: Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.
authors: Gimoon
authors: G
authors: Kang
authors: Tae Ki
authors: TK
authors: Yang
authors: Joon Hyouk
authors: JH
authors: Choi
authors: Sang Taek
authors: ST
authors: Heo
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D017128:Embolectomy; D004696:Endocarditis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000601:surgery; D008943:Mitral Valve / Q000000981:diagnostic imaging; D013291:Streptococcus / Q000302:isolation & purification; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acute Ischemic Stroke; Infective Endocarditis; Mechanical Embolectomy
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