Acute coronary embolism complicating bacterial endocarditis: Operative treatment
1976; Elsevier BV; Volume: 37; Issue: 6 Linguagem: Inglês
10.1016/0002-9149(76)90119-3
ISSN1879-1913
AutoresJames F. Pfeifer, Martin J. Lipton, James H. Oury, William W. Angell, Herbert N. Hultgren,
Tópico(s)Streptococcal Infections and Treatments
ResumoA patient with bacterial endocarditis and no previous history of angina sustained an acute anterolateral myocardial infarction while awaiting surgery. Selective coronary arteriography revealed a filling defect in the left anterior descending coronary artery with limited flow beyond the area of occlusion. A calcific embolus from the infected aortic valve was removed at the time of valve replacement, and the patient had an uneventful immediate postoperative course. Late postoperatively paravalvular aortic regurgitation recurred before and after a second repair.
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