title: Multi-embolic ST-elevation myocardial infarction secondary to aortic valve endocarditis.
abstract: We present the case of a 42 year-old woman admitted to hospital with ST-elevation myocardial infarction involving two separate coronary territories. Angiography revealed multi-embolic occlusions of her left anterior descending (LAD) and first obtuse marginal (OM1) coronary arteries. Transoesophageal echocardiogram (TOE) showed a lesion attached to the left cusp of the aortic valve and she was treated for infective endocarditis. We discuss the management issues raised from this unique patient, including reperfusion strategies in endocarditis-associated myocardial infarction.
authors.affiliation: Department of Cardiology, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia. Electronic address: adamrischin@gmail.com.
authors.forename: Adam P
authors.initials: AP
authors.lastname: Rischin
authors.affiliation: Department of Cardiology, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia.
authors.forename: Philip
authors.initials: P
authors.lastname: Carrillo
authors.affiliation: Department of Cardiology, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia.
authors.forename: Jamie
authors.initials: J
authors.lastname: Layland
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging; D000082882:Bicuspid Aortic Valve Disease; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000150:complications / Q000000981:diagnostic imaging; D004696:Endocarditis / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000000981:diagnostic imaging; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging
keywords: Bacterial endocarditis; Cardiology; Myocardial infarction; Percutaneous coronary intervention; Thrombectomy