Sudden Cardiac Death caused by a Septic Coronary Artery Embolism as the First Clinical Presentation of Infective Endocarditis
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This report describes an uncommon and fatal case of acute coronary infarction due to a coronary embolus arising from vegetation in the aortic valve with the background of infective endocarditis (IE). There are various causes underlying fatal IE. Acute coronary infarction from septic emboli is rare. We report a case of sudden death in a 69-year-old woman with hyperlipidemia and no known cardiac disease. She had severe general weakness and had been hospitalized for colonoscopy. She unexpectedly presented with cardiac arrest and died. The autopsy showed total occlusion of the left anterior descending artery by an embolus, which originated from septic vegetation of the aortic valve. Among patients with IE, myocardial infarction from septic emboli has a fatal outcome. It should be considered that acute coronary infarction can be shown as the first presentation of IE. Prompt treatment, such as surgical intervention combined with antibiotic therapy, should be considered.
Abstract
This report describes an uncommon and fatal case of acute coronary infarction due to a coronary embolus arising from vegetation in the aortic valve with the background of infective endocarditis (IE). There are various causes underlying fatal IE. Acute coronary infarction from septic emboli is rare. We report a case of sudden death in a 69-year-old woman with hyperlipidemia and no known cardiac disease. She had severe general weakness and had been hospitalized for colonoscopy. She unexpectedly presented with cardiac arrest and died. The autopsy showed total occlusion of the left anterior descending artery by an embolus, which originated from septic vegetation of the aortic valve. Among patients with IE, myocardial infarction from septic emboli has a fatal outcome. It should be considered that acute coronary infarction can be shown as the first presentation of IE. Prompt treatment, such as surgical intervention combined with antibiotic therapy, should be considered.
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