- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Automatic Translation feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Infective endocarditis with coronary embolism
-
- Otani Takayuki
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Inoue Ichiro
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Kawagoe Takuji
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Ishihara Masaharu
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Shimatani Yuji
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Kurisu Satoru
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
-
- Nakama Yasuharu
- Division of Cardiovascular Internal Medicine, Hiroshima City Hospital
Bibliographic Information
- Other Title
-
- 感染性心内膜炎に冠動脈塞栓を合併した１例
Search this article
Description
A 31-year-old-male was admitted to our hospital with chest pain that had persisted for two days. We found ST segment elevation in leads V2-6 on electrocardiograms and blood tests indicated a severe inflammatory reaction and elevated cardiac enzymes. Acute anterior myocardial infarction was suspected and coronary angiography revealed complete obstruction of the left anterior descending coronary artery. Reperfusion therapy with catheter devices was unsuccessful. Blood cultures upon admission confirmed infection with Streptococcus intermedius on the following day. Cardiographic ultrasound revealed mitral valve regurgitation and a mass located on the valve, indicating infective endocarditis and coronary embolism. Because heart failure worsened due to mitral valve regurgitation, valve replacement was performed on day three. Coronary embolism is a known complication of rare infective endocarditis, and a treatment strategy has not been established. However, selecting the wrong treatment can result in severe complications. Physical examinations should be conducted in consideration of the possibility of infective endocarditis with coronary embolism when younger patients have no risk of arteriosclerosis or when myocardial infarction is accompanied by symptoms of infection. Coronary angioplasty should be selected according to each patient's condition.
Journal
-
- Nihon Kyukyu Igakukai Zasshi
-
Nihon Kyukyu Igakukai Zasshi 20 (12), 923-928, 2009
Japanese Association for Acute Medicine
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679345258112
-
- NII Article ID
- 10028250552
-
- NII Book ID
- AN10284604
-
- ISSN
- 18833772
- 0915924X
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed
