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Acute myocardial infarction in patient with history of infective endocarditis


Authors: A. Mažárová 1;  D. Marek 1;  E. Kociánová 1;  T. Mráz 1;  M. Sluka 1;  P. Němec 2;  J. Lukl 1
Authors‘ workplace: I. interní klinika Lékařské fakulty UP a FN, Olomouc, přednosta prof. MUDr. Jan Lukl, CSc. 1;  Kardiochirurgická klinika Lékařské fakulty UP a FN, Olomouc, přednosta doc. MUDr. Petr Němec, CSc. 2
Published in: Vnitř Lék 2005; 51(1): 93-96
Category: Case Reports

Overview

The most significant risk factors of coronary embolic events are valvular heart disease and status after valve replacement surgery, cardiomyopathies, chronic atrial fibrilation, syfilitic or atherosclerotic aortic lesions, intracardial trombi and tumors. In our report we describe a case of young man with embolic myocardial infarction. The origin of the embolus was the bicuspid aortic valve, degeneratively changed after infective endocarditis.

Key words:
acute myocardial infarction – infective endocarditis – systemic embolic events – bicuspid aortic valve


Sources

1. Bayer AS, Bolger AF, Taubert KA et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998; 25(98): 2936–2948.

2. Lukl J, Smyslová O. Embolie do kmene levé věnčité tepny vedoucí k čerstvému srdečnímu infarktu a smrti u nemocné s mitrální vadou. Vnitř Lék 1984; 30(3): 284–291.

3. Molpus JL, Nadkarni M. Massive embolicmyocardial infarction in a teenager. Pediatric Emergency Care 2002; 2(18): 101–104.

4. Prizel KR, Hutchins GM, Bulkley BH. Coronary artery embolism and myocardial infarction. Annals of Int Med (abst.) 1978; 2(88): 155–161.

5. Salka S, Almassi GH, Leitschuh ML. Spontaneous coronary artery embolus associated with calcific aortic stenosis. Chest (abst.) 1994; 4(105): 1289–1290.

6. Štejfa M et al. Kardiologie. 2. vyd. Praha: Grada 1998: 306–307.

7. Vilacosta I, Graupner C, Román JAS et al. Risk of embolisation after institution of antibiotic therapy for infective endocarditis. JACC 2002; 9(39): 1489–1495.

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 1

2005 Issue 1

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