title: Septic coronary artery embolism treated with aspiration thrombectomy: case report and review of literature.
abstract: Coronary embolization is a potentially fatal sequela of endocarditis. We report a case of Candida endocarditis with septic embolism to the left anterior descending coronary artery. This embolism was successfully treated with aspiration thrombectomy followed by balloon angioplasty. The treatment of acute coronary syndrome in the presence of septic embolism is controversial. Aspiration thrombectomy has been performed in this situation before, and it appears to be safer and more feasible than is thrombolysis or percutaneous transluminal angioplasty.
authors.affiliation: Departments of Medicine (Drs. Maqsood and Sarwar) and Interventional Cardiology (Drs. Eftekhari and Lotfi), Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199.
authors.forename: Khawar
authors.initials: K
authors.lastname: Maqsood
authors.affiliation: Departments of Medicine (Drs. Maqsood and Sarwar) and Interventional Cardiology (Drs. Eftekhari and Lotfi), Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199.
authors.forename: Nosheen
authors.initials: N
authors.lastname: Sarwar
authors.affiliation: Departments of Medicine (Drs. Maqsood and Sarwar) and Interventional Cardiology (Drs. Eftekhari and Lotfi), Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199.
authors.forename: Hossein
authors.initials: H
authors.lastname: Eftekhari
authors.affiliation: Departments of Medicine (Drs. Maqsood and Sarwar) and Interventional Cardiology (Drs. Eftekhari and Lotfi), Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199.
authors.forename: Amir
authors.initials: A
authors.lastname: Lotfi
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D006328:Cardiac Catheterization; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D004562:Electrocardiography; D004617:Embolism / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D004696:Endocarditis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D013396:Suction; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents
keywords: Acute coronary syndrome; aspiration thrombectomy; candidiasis; coronary thrombosis/therapy; embolism, coronary/etiology; endocarditis, fungal/complications/therapy; infective endocarditis; mycoses/therapy; myocardial infarction/etiology; suction/instrumentation; thrombectomy/instrumention/methods