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Septic Coronary Artery Embolism Treated with Aspiration Thrombectomy: Case Report and Review of Literature |
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| Authors: | Khawar Maqsood Nosheen Sarwar Hossein Eftekhari Amir Lotfi |
| Affiliation: | Departments of Medicine (Drs. Maqsood and Sarwar) and Interventional Cardiology (Drs. Eftekhari and Lotfi), Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199 |
| Abstract: | 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. |
| Keywords: | Acute coronary syndrome aspiration thrombectomy candidiasis coronary thrombosis/therapy embolism coronary/etiology endocarditis fungal/complications/therapy infective endocarditis mycoses/therapy myocardial infarction/etiology suction/instrumentation thrombectomy/instrumention/methods |