Division of Medicine, Middlemore Hospital, Private Bag 93311, Hospital Road, Otahuhu, Auckland 1640, New Zealand.
Heart Lung Circ. 2012 Dec;21(12):811-4. doi: 10.1016/j.hlc.2012.05.004. Epub 2012 Aug 1.
Coronary artery septic embolisation resulting in cardioembolic myocardial infarction (MI) is a rare complication of bacterial infective endocarditis (IE), representing <1% of complications related to IE. Diagnosis requires a combination of high clinical suspicion, coronary angiography, echocardiography and cultures of peripheral blood and/or embolic material. The associated mortality rate remains high despite early diagnosis. Optimal interventional therapy is unknown with published international experience over the past two decades limited to very small case series and individual case reports. We present a case of ST elevation MI resulting from coronary artery septic embolisation with an accompanying comprehensive review of the literature.
冠状动脉感染性栓子导致心源性心肌梗死（MI）是细菌性感染性心内膜炎（IE）的罕见并发症，占 IE 相关并发症的 <1%。诊断需要高度临床怀疑、冠状动脉造影、超声心动图以及外周血和/或栓塞物的培养相结合。尽管早期诊断，但相关死亡率仍然很高。过去 20 年来，国际上发表的经验有限，仅限于非常小的病例系列和个别病例报告，因此最佳的介入治疗方法尚不清楚。我们报告了一例因冠状动脉感染性栓子导致 ST 段抬高型 MI 的病例，并对文献进行了全面回顾。
