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Heart, Lung and Circulation
Clinical Spotlight| Volume 22, ISSUE 5, P386-389, May 2013

Nonbacterial Thrombotic Endocarditis with ST-elevation Myocardial Infarction Treated with Percutaneous Coronary Aspiration Thrombectomy

  • Ing S. Tiong
    Correspondence
    Corresponding author at: Southern Blood and Cancer Service, Dunedin Hospital, Private Bag 1921, Dunedin 9054, New Zealand. Tel.: +64 21 2118182; fax: +64 3 4747656.
    Affiliations
    Southern Blood and Cancer Service, Dunedin Hospital, Dunedin, New Zealand

    Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
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  • Michael J.A. Williams
    Affiliations
    Department of Cardiology, Dunedin Hospital, Dunedin, New Zealand

    Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
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  • David J. Perez
    Affiliations
    Southern Blood and Cancer Service, Dunedin Hospital, Dunedin, New Zealand

    Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
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Published:December 10, 2012DOI:https://doi.org/10.1016/j.hlc.2012.10.013
      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.

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