Coronary embolism in left-sided infective endocarditis. A retrospective analysis from a high-volume surgical centre and review of the literature.

ABSTRACT:

Background

Septic embolization is a common and potentially life-threatening complication of infective endocarditis (IE), with a prevalence of 22-50%. While acute coronary syndrome secondary to septic embolism is rare, it poses significant risks.

Aims

This study examines coronary embolism (CE) in left-sided IE, describing clinical characteristics and outcomes.

Methods

We retrospectively analysed 649 patients with non-device-related left-sided IE treated between January 2013 and December 2023 in a high-volume surgical centre. CE was diagnosed via ECG, clinical and laboratory signs of acute coronary syndrome, and confirmed by coronary angiography or magnetic resonance imaging. All patients were treated according to current European Society of Cardiology guidelines. A str

SUBMITTER: Mazzotta R 

PROVIDER: S-EPMC11616836 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature