Carvalho Gouveia Cristina, Pimenta Inês, Fernandes Marco, Chambino Beatriz, Côrte-Real Hugo
Internal Medicine, Hospital São Francisco Xavier, Lisbon, PRT.
Intensive Care, Hospital Garcia de Orta, Almada, PRT.
Cureus. 2022 Jan 20;14(1):e21459. doi: 10.7759/cureus.21459. eCollection 2022 Jan.
Infective endocarditis is a multisystem and potentially fatal disease. Systemic embolization is a relatively common complication, the spleen and central nervous system being the most frequent sites for septic emboli formation. Coronary artery septic embolization is extremely uncommon and its management remains controversial. We present the case of a 50-year-old male diagnosed with mitral valve infective endocarditis complicated with spleen and central nervous system embolization, who developed acute myocardial infarction two weeks after disease onset. The patient was successfully treated with combined mitral valve replacement and coronary artery bypass grafting.
感染性心内膜炎是一种累及多系统且可能致命的疾病。系统性栓塞是一种相对常见的并发症，脾脏和中枢神经系统是脓毒性栓子形成最常见的部位。冠状动脉脓毒性栓塞极为罕见，其治疗仍存在争议。我们报告一例50岁男性患者，诊断为二尖瓣感染性心内膜炎合并脾脏和中枢神经系统栓塞，发病两周后发生急性心肌梗死。该患者通过二尖瓣置换术和冠状动脉旁路移植术联合治疗获得成功。
