ST-elevation myocardial infarction from coronary embolus is a rare complication of
nonbacterial thrombotic endocarditis, with little data on therapeutic management.
We present a novel use of percutaneous coronary aspiration thrombectomy using an Export® catheter resulting in successful restoration of normal coronary blood flow. We also
demonstrated complete resolution of the thrombotic valvular lesion with double antiplatelet
and anticoagulation therapy alone. The clinical manifestations and management of coronary
embolisation from nonbacterial thrombotic endocarditis are reviewed.
Keywords
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Article info
Publication history
Published online: December 10, 2012
Accepted:
October 24,
2012
Received in revised form:
October 23,
2012
Received:
September 21,
2012
Identification
Copyright
© 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.