The Experts below are selected from a list of 1338 Experts worldwide ranked by ideXlab platform
Edo Kaluski - One of the best experts on this subject based on the ideXlab platform.
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Acute ST-elevation myocardial infarction due to Septic Embolism: a case report and review of management options.
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2015Co-Authors: Maninder Singh, Abhishek Kumar Mishra, Edo KaluskiAbstract:Acute ST-elevation myocardial (STEMI) infarction due to Septic Embolism is rare and management strategies differ from those applied to atherothrombotic STEMI. A 70-year-old male with aortic valve endocarditis and persistent bacteremia developed acute inferior wall STEMI due to Septic Embolism. Due to inferior STEMI accompanied by hemodynamic instability, coronary angiography and primary PCI (stenting) to a totally occluded right coronary artery (RCA) was performed. Despite excellent immediate angiographic results and hemodynamic stabilization, repeat angiogram two weeks later showed mycotic aneurysms at the site of stent placement. Patient later suffered from intracranial hemorrhage and splenic infarct and had worsening aortic regurgitation, prompting surgical aortic valve replacement with bypass of the RCA. Despite aggressive medical, interventional and surgical management, he expired four weeks after the surgery. Selection of an optimal revascularization strategy in this scenario is unclear with a potential harm from standard therapies. We have reviewed prior reports and summarized results in a tabular form.
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mycotic aneurysm after coronary stenting following Septic Embolism a rare complication of bacterial endocarditis
Journal of the American College of Cardiology, 2014Co-Authors: Maninder Singh, Abhishek Kumar Mishra, Sreekanth Kondareddy, Wojciech Rudzinski, Edo KaluskiAbstract:A 72-year-old male with end stage renal disease presented with febrile illness and was found to have Methicillin-resistant Staphylococcus Aureus bacteremia that persisted despite antibiotic therapy. On the 5th hospitalization day, patient developed acute inferior wall ST-elevation myocardial
Saurabh Ranjan - One of the best experts on this subject based on the ideXlab platform.
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MANAGEMENT DILEMMA IN A PATIENT WITH ACUTE ST-ELEVATION MYOCARDIAL INFARCTION DUE TO Septic Embolism
Journal of the American College of Cardiology, 2016Co-Authors: Jatan Shah, Natasha Bhimani, Suphichaya Muangman, Saurabh RanjanAbstract:Acute ST-elevation myocardial infarction (STEMI) due to Septic coronary Embolism is a rare complication of infective endocarditis and has a high mortality rate. A high index of suspicion is needed for its timely diagnosis as the management might differ from the conventional atherothrombotic STEMI.
Po-chao Hsu - One of the best experts on this subject based on the ideXlab platform.
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Infective endocarditis complicated with nonobstructive ST elevation myocardial infarction related to Septic Embolism with intracranial hemorrhage: A case report.
Medicine, 2018Co-Authors: Yi-hsueh Liu, Wen-hsien Lee, Chun-yuan Chu, Tsung-hsien Lin, Hsueh-yei Yen, Wen-chol Voon, Wen-ter Lai, Sheng-hsiung Sheu, Po-chao HsuAbstract:RATIONALE Infective endocarditis (IE) complicated with obstructive ST elevation myocardial infarction (STEMI) has been reported in the literature and which were mostly related to coronary artery Embolism, obstruction, or compression. However, there has been no reported case discussing about IE complicated with nonobstructive STEMI. PATIENT CONCERNS In this report, we report a 38-year-old female suffering from intermittent fever and was later diagnosed as IE. Initially antibiotic was given and mitral valve surgery was also arranged due to large vegetation with severe mitral regurgitation. Nevertheless, sudden conscious loss with desaturation happened and brain computed tomography (CT) showed intracranial and subdural hemorrhage related to possible Septic Embolism. In addition, electrocardiography (ECG) revealed ST elevation over precordial leads, and elevation of cardiac enzymes was also noted. DIAGNOSES Emergent coronary angiography was arranged but result showed normal coronary arteries without any evidence of stenosis. The diagnoses of IE complicated with nonobstructive STEMI were made. INTERVENTIONS After coronary angiography, the patient underwent craniotomy and subdural hematoma removal. Surprisingly, follow-up ECG also revealed ST segment resolution. OUTCOMES The patient received full course antibiotic treatment and follow-up brain CT also showed improvement of intracranial hemorrhage (ICH) and subdural hemorrhage. Because follow-up echocardiography still revealed severe mitral regurgitation with mitral valve prolapse due to leaflet destruction with partially decreased vegetation size, mitral valve replacement with bioprosthetic valve was performed and the patient was finally discharged smoothly. LESSONS In our knowledge, this case should be the 1st case of IE complicated with nonobstructive STEMI, which reminds physicians that nonobstructive STEMI is still an extremely rare but possible complication of IE and Septic Embolism related ICH should be carefully surveyed in this rare patient group.
Maninder Singh - One of the best experts on this subject based on the ideXlab platform.
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Acute ST-elevation myocardial infarction due to Septic Embolism: a case report and review of management options.
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2015Co-Authors: Maninder Singh, Abhishek Kumar Mishra, Edo KaluskiAbstract:Acute ST-elevation myocardial (STEMI) infarction due to Septic Embolism is rare and management strategies differ from those applied to atherothrombotic STEMI. A 70-year-old male with aortic valve endocarditis and persistent bacteremia developed acute inferior wall STEMI due to Septic Embolism. Due to inferior STEMI accompanied by hemodynamic instability, coronary angiography and primary PCI (stenting) to a totally occluded right coronary artery (RCA) was performed. Despite excellent immediate angiographic results and hemodynamic stabilization, repeat angiogram two weeks later showed mycotic aneurysms at the site of stent placement. Patient later suffered from intracranial hemorrhage and splenic infarct and had worsening aortic regurgitation, prompting surgical aortic valve replacement with bypass of the RCA. Despite aggressive medical, interventional and surgical management, he expired four weeks after the surgery. Selection of an optimal revascularization strategy in this scenario is unclear with a potential harm from standard therapies. We have reviewed prior reports and summarized results in a tabular form.
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mycotic aneurysm after coronary stenting following Septic Embolism a rare complication of bacterial endocarditis
Journal of the American College of Cardiology, 2014Co-Authors: Maninder Singh, Abhishek Kumar Mishra, Sreekanth Kondareddy, Wojciech Rudzinski, Edo KaluskiAbstract:A 72-year-old male with end stage renal disease presented with febrile illness and was found to have Methicillin-resistant Staphylococcus Aureus bacteremia that persisted despite antibiotic therapy. On the 5th hospitalization day, patient developed acute inferior wall ST-elevation myocardial
Christos Dervenis - One of the best experts on this subject based on the ideXlab platform.
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Splenic abscess in a patient with fecal peritonitis.
World journal of gastroenterology, 2007Co-Authors: Spiros Delis, Petros Maniatis, Charikleia Triantopoulou, John Papailiou, Christos DervenisAbstract:Splenic abscess is a rare entity normally associated with underlying diseases. We report a case of splenic abscess with large gas formation in a non-diabetic and non-immunosuppressed patient after surgery for colon perforation. The most frequent cause of splenic abscess is Septic Embolism arising from bacterial endocarditis. Splenic abscess has a high rate of mortality when it is diagnosed late. Computed tomography resolved any diagnostic doubt, and subsequent surgery confirmed the diagnosis.
