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Coronary septic embolism presenting as acute myocardial infarction. A case report of a singular manifestation of infective endocarditis

2025-01-29Journal article Open access
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorCarvalho, Mariana Ferreira
dc.contributor.authorGonçalves, Carolina
dc.contributor.authorSantos, Beatriz Saldanha
dc.contributor.authorMorais, João
dc.contributor.editorSøholm, Helle
dc.contributor.editorGalyavich, Albert
dc.contributor.editorRroku, Andi
dc.contributor.editorLuo, Elton
dc.date.accessioned2025-09-16T15:30:35Z
dc.date.available2025-09-16T15:30:35Z
dc.date.issued2025-01-29
dc.descriptionSupplementary material is available at European Heart Journal - Case Reports online
dc.descriptionWe thank the medical staff involved in the patient's care for their support and contribution.
dc.descriptionArticle number - ytaf037
dc.description.abstractBackground Acute ST-elevation myocardial infarction (STEMI) complicated by infective endocarditis (IE) presents a unique challenge in clinical management, especially when associated with septic embolism leading to coronary artery occlusion. Case summary The current clinical report describes the case of a 72-year-old male with a history of arterial hypertension, dyslipidaemia, and severe obstructive sleep apnea. The patient presented with anterior STEMI due to an embolic occlusion in the left anterior descending (LAD) artery, secondary to IE. Coronary angiography revealed embolic occlusion at the LAD origin, and balloon angioplasty without stent placement was performed, considering the embolic and infectious nature of the occlusion. Despite targeted interventions, including broad-spectrum antibiotics and support for cardiogenic shock, the patient's condition deteriorated, leading to cardiac arrest and subsequent death on the fourth day of hospitalization. Conclusion This case emphasizes the critical need for adapting STEMI management in the presence of IE. It highlights the importance of considering IE in STEMI differential diagnosis and adjusting intervention strategies accordingly.eng
dc.identifier.citationMariana Ferreira Carvalho, Carolina Gonçalves, Beatriz Saldanha Santos, João Morais, Coronary septic embolism presenting as acute myocardial infarction. A case report of a singular manifestation of infective endocarditis, European Heart Journal - Case Reports, Volume 9, Issue 2, February 2025, ytaf037, https://doi.org/10.1093/ehjcr/ytaf037
dc.identifier.doi10.1093/ehjcr/ytaf037
dc.identifier.eissn2514-2119
dc.identifier.urihttp://hdl.handle.net/10400.8/14076
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOxford University Press
dc.relation.hasversionhttps://academic.oup.com/ehjcr/article/9/2/ytaf037/7986164
dc.relation.ispartofEuropean Heart Journal - Case Reports
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCase report
dc.subjectInfective endocarditis
dc.subjectMyocardial infarction
dc.subjectSeptic embolism
dc.subjectAcute coronary syndrome
dc.titleCoronary septic embolism presenting as acute myocardial infarction. A case report of a singular manifestation of infective endocarditiseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.titleEuropean Heart Journal: Case Reports
oaire.citation.volume9
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMorais
person.givenNameJoão
person.identifier.ciencia-id3614-652A-118E
person.identifier.orcid0000-0003-3406-2878
relation.isAuthorOfPublication3bc0f910-a460-461f-863a-1ca701ee597f
relation.isAuthorOfPublication.latestForDiscovery3bc0f910-a460-461f-863a-1ca701ee597f

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