Korean Circ J.
2022 Dec;52(12):906-907. 10.4070/kcj.2022.0233.
Acute Left Main Coronary Artery Occlusion by Embolization of Vegetation in Patient With Infective Endocarditis
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea
- KMID: 2536795
- DOI: http://doi.org/10.4070/kcj.2022.0233
Figure
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Figure 1 (A) TEE showed mobile echogenic mass (8×5 mm) on prosthetic aortic valve. (B) Emergent coronary angiography revealed filling defect in LM with total occlusion of mid LAD. (C) Direct coronary stenting (SynergyTM 3.5×12 mm) in LM was performed. (D) Follow-up TEE after 3 weeks revealed the decrease size of previous vegetation. (E) Materials from aspiration thrombectomy. (F) Bacterial colonies by pathology.LAD = left anterior descending; LM = left main; TEE = transesophageal echocardiography.
Reference
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1. Roux V, Salaun E, Tribouilloy C, et al. Coronary events complicating infective endocarditis. Heart. 2017; 103:1906–1910. PMID: 28642290.2. Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and management of infective endocarditis and its complications. Circulation. 1998; 98:2936–2948. PMID: 9860802.3. Khan F, Khakoo R, Failinger C. Managing embolic myocardial infarction in infective endocarditis: current options. J Infect. 2005; 51:e101–e105. PMID: 16230184.
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