{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:47:21Z","timestamp":1777870041277,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Coronary artery emboli can occur from a number of rare causes such as arterial thrombo-embolus or septic embolus. This diagnosis generally requires multi-modal imaging including echocardiography, computed tomography, or invasive coronary angiography. Septic coronary emboli is an extremely rare consequence of infective endocarditis (IE), having been reported in &amp;lt;1% of all cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 54-year-old previously healthy Tibetan monk presented feeling generally unwell and lethargic. Electrocardiogram demonstrated sinus rhythm, third-degree atrioventricular block with a left bundle branch escape. Initial transthoracic and transoesophageal echocardiography demonstrated vegetations on the aortic and tricuspid valve as well as intra-myocardial abscess. Coronary angiography revealed septic embolus involving the septal perforator coronary artery. He underwent surgical replacement of the infected valves and debridement and repair of a ventricular septal defect.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Infective endocarditis can predispose to a range of cardiac pathology. This case demonstrates that patients can present with cardiac conduction disease from a septic embolus involving a coronary artery as a complication of IE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa193","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T09:37:17Z","timestamp":1598348237000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Case report: third-degree atrioventricular block secondary to septic coronary artery embolism following infective endocarditis"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1708-2527","authenticated-orcid":false,"given":"Abhisheik","family":"Prashar","sequence":"first","affiliation":[{"name":"Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia"},{"name":"University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5302-276X","authenticated-orcid":false,"given":"Daniel","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Youssef","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"2020110901530192100_ytaa193-B1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jcin.2017.08.057","article-title":"Coronary embolus: an underappreciated cause of acute coronary syndromes","volume":"11","author":"Raphael","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"2020110901530192100_ytaa193-B2","first-page":"1348607","article-title":"Native aortic and tricuspid valve endocarditis complicated by embolic ST elevation myocardial infarction","volume":"2019","author":"Zaman","year":"2019","journal-title":"Case Rep Cardiol"},{"key":"2020110901530192100_ytaa193-B3","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1016\/0735-1097(91)90535-H","article-title":"Echocardiographic assessment of patients with infectious endocarditis: prediction of risk for complications","volume":"18","author":"Sanfilippo","year":"1991","journal-title":"J Am Coll Cardiol"},{"key":"2020110901530192100_ytaa193-B4","first-page":"144","article-title":"Uncertainties in managing myocardial infarction associated with infective endocarditis","volume":"17","author":"Overend","year":"2012","journal-title":"Exp Clin Cardiol"},{"key":"2020110901530192100_ytaa193-B5","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1136\/hrt.2009.183285","article-title":"Aspiration therapy in septic coronary embolism complicating infectious endocarditis","volume":"96","author":"Motreff","year":"2010","journal-title":"Heart"},{"key":"2020110901530192100_ytaa193-B6","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1002\/clc.4960201018","article-title":"Coronary embolism complicating aortic valve endocarditis: treatment with placement of an intracoronary stent","volume":"20","author":"Glazier","year":"1997","journal-title":"Clin Cardiol"},{"key":"2020110901530192100_ytaa193-B7","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1536\/ihj.48.387","article-title":"Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism","volume":"48","author":"Sakai","year":"2007","journal-title":"Int Heart J"},{"key":"2020110901530192100_ytaa193-B8","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1136\/hrt.2004.055046","article-title":"Acute myocardial infarction caused by septic coronary embolism diagnosed and treated with a thrombectomy catheter","volume":"91","author":"Taniike","year":"2005","journal-title":"Heart"}],"container-title":["European Heart Journal - 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