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Volume 342:977-978 March 30, 2000 Number 13
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Acute Myocardial Infarction Due to Septic Coronary Embolism

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To the Editor: Lanza et al. (Sept. 30 issue)1 described a case of acute myocardial infarction due to a coronary embolus arising from a left ventricular thrombus. We report a case of myocardial infarction that was fatal, despite fibrinolytic therapy, and that arose from the embolism of bacterial vegetation in a woman with no known coronary risk factors and incompletely treated infective endocarditis. Postmortem examination revealed a bacteria-laden embolus in a major epicardial artery and an intraparenchymal cerebellar hemorrhage.

A 54-year-old woman, who was an intravenous drug abuser, was admitted with a four-week history of fever and interrupted treatment for . . . [Full Text of this Article]

References


Related Letters:

Multifocal Coronary Thromboembolism from a Left Ventricular Thrombus
Lanza G. M., Berman B. J., Taniuchi M.
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N Engl J Med 1999; 341:1083-1084, Sep 30, 1999. Correspondence

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