title: Left main occlusion secondary to infective endocarditis vegetation: "The unusual suspect".
abstract: Treatment of acute coronary syndrome secondary to septic coronary embolism during valvular endocarditis is controversial. Urgent coronary angiography and stent implantation or surgical intervention have been proposed. We present the case of a patient presented at the emergency department with chest pain and cardiogenic shock. The coronary angiography showed a large filling defect in the left main due to a septic coronary embolism.
authors.affiliation: Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Pavani
authors.affiliation: Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy. Electronic address: Federico.conrotto@gmail.com.
authors.forename: Federico
authors.initials: F
authors.lastname: Conrotto
authors.affiliation: Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: D'Ascenzo
authors.affiliation: Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: D'Amico
authors.affiliation: Division Of Cardiac Surgery, Città della Salute e della Scienza, University of Turin, Torino, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Centofanti
authors.affiliation: Division of Cardiology, Città della Salute e della Scienza, University of Turin, Torino, Italy.
authors.forename: Fiorenzo
authors.initials: F
authors.lastname: Gaita
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D004617:Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery; D012770:Shock, Cardiogenic / Q000150:complications / Q000175:diagnosis / Q000601:surgery
keywords: Acute coronary syndrome coronary angiography; Infective endocarditis