Korean J Med.
2007 Jan;72(1):85-89.
A case of acute myocardial infarction caused by a septic coronary embolism and treated with embolectomy
- Affiliations
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- 1Department of Internal Medicine, Sejong hospital, Bucheon, Korea. ycw717@naver.com
- 2Department of Thoracic Surgery, Sejong hospital, Bucheon, Korea.
Abstract
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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.