scholarly journals Septic Coronary Artery Embolism Treated with Aspiration Thrombectomy: Case Report and Review of Literature

2014 ◽  
Vol 41 (4) ◽  
pp. 437-439 ◽  
Author(s):  
Khawar Maqsood ◽  
Nosheen Sarwar ◽  
Hossein Eftekhari ◽  
Amir Lotfi
Keyword(s):  
Coronary Artery ◽  
Transluminal Angioplasty ◽  
Review Of Literature ◽  
Aspiration Thrombectomy ◽  
Coronary Syndrome ◽  
Septic Embolism ◽  
Artery Embolism ◽  
Coronary Embolization ◽  
Coronary Artery Embolism ◽  
Percutaneous Transluminal

Coronary embolization is a potentially fatal sequela of endocarditis. We report a case of Candida endocarditis with septic embolism to the left anterior descending coronary artery. This embolism was successfully treated with aspiration thrombectomy followed by balloon angioplasty. The treatment of acute coronary syndrome in the presence of septic embolism is controversial. Aspiration thrombectomy has been performed in this situation before, and it appears to be safer and more feasible than is thrombolysis or percutaneous transluminal angioplasty.

scholarly journals Clinical features and prognosis of acute myocardial infarction due to coronary artery embolism

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Hata ◽  
T Shimada ◽  
Y Shima ◽  
K Okabe ◽  
M Ohya ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Clinical Features ◽  
Cardiac Death ◽  
Coronary Intervention ◽  
Coronary Syndrome ◽  
Artery Embolism ◽  
Embolism And Thrombosis ◽  
Common Causes ◽  
Coronary Artery Embolism ◽  
Angiographic Evidence

Abstract Background Coronary artery embolism (CE) is one of the important causes of acute coronary syndrome (ACS). The feature of CE is that angiographic evidence of coronary artery embolism and thrombosis without atherosclerotic components. However, the prevalence of CE remains unknown because of the diffifulty to diagnose in the acute settings. A recent retrospective analysis suggested that up to 3% of ACS cases may result from CE. Purpose The aim of this study was to elucidate the prevalence, clinical features and long-term outcomes including all-cause and cardiac death. Methods We analysed the consecutive 2695 patients with first AMI performed coronary intervention between January 2004 and July 2017. CE was diagnosed by clinical histories and angiographic findings. We retrospectively evaluated the clinical and lesion characteristics and outcomes including all-cause and cardiac death. Results The prevalence of CE was 2.0% (n=55; CE group and n=2640; non-CE group), including 8 (15%) patients with multivessel CE. The CE group had higher average age (70.8±14.9 vs. 68.4±12.6, p<0.01), prevalence of female (54% vs. 27%, p<0.01), lower prevalence of smoking (34% vs. 62%, p<0.01). The common causes with CE were atrial fibrillation (47%), and malignant tumor (9%), and cardiomyopathy (5%), and patent foramen ovale (4%). Only 20% of patients with CE were treated with anti-coagulant therapy. The rate of distal infarction site (defined as #4, #8, #14–15) was significantly higher in CE group than non-CE group (54.0% vs. 4.9%, p<0.01). During median follow-up of 53.6 [32.6–77.3] months, CE and thromboembolism recurred in 5 patients (CE: 1 patient, stroke 4 patients). The 4-year incidence of all-cause death was significantly higher in the CE group, but cardiac death was not significantly different between the groups (28.8% vs. 14.8%, p=0.03; 12.8% vs. 5.1%, p=0.11). Conclusion Compared with non-CE group, the prevalence of distal infarction site was significantly higher in the CE group, and the incidence of cardiac death is not significantly different. Funding Acknowledgement Type of funding source: None

Coronary artery embolism in a patient with mechanical heart valve and normal coronary arteries (clinical case)

2019 ◽  
Vol 17 (2) ◽  
pp. 153-157
Author(s):  
A. Z. Sharafeev ◽  
◽  
A. F. Khalirakhmanov ◽  
A. I. Alkhazurov ◽  
E. A. Gaziev ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Heart Valve ◽  
Coronary Arteries ◽  
Clinical Case ◽  
Mechanical Heart Valve ◽  
Normal Coronary Arteries ◽  
Artery Embolism ◽  
Coronary Artery Embolism
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