A case of acute myocardial infarction caused by a septic coronary embolism and treated with embolectomy.
- Author:
Young Ju LEE
1
;
Hyun Chul JO
;
Seung Hyung HA
;
Ji Won JANG
;
Cheol Woong YU
;
Man Jong BAEK
;
Heung Kon HWANG
Author Information
1. Department of Internal Medicine, Sejong hospital, Bucheon, Korea. ycw717@naver.com
- Publication Type:Case Report
- Keywords:
Acute myocardial infarction;
Infective endocarditis;
Embolectomy
- MeSH:
Adult;
Embolectomy*;
Embolism*;
Emergencies;
Endocarditis;
Endocarditis, Bacterial;
Heart Failure;
Humans;
Mitral Valve;
Mitral Valve Insufficiency;
Myocardial Infarction*;
Prognosis
- From:Korean Journal of Medicine
2007;72(1):85-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An acute myocardial infarction caused by a septic coronary embolism is a known complication of infective endocarditis and usually carries a fatal prognosis. We experienced a case of a 27-year-old man with an acute myocardial infarction caused by a coronary embolism due to bacterial endocarditis. An echocardiogram demonstrated mitral valve regurgitation with highly mobile multiple vegetations. Because of the high risk of systemic embolization and congestive heart failure, the patient underwent emergency surgery. Mitral valve replacement and an embolectomy were performed successfully without any surgical complications.