{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T19:32:06Z","timestamp":1773084726615,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,3,3]],"date-time":"2019-03-03T00:00:00Z","timestamp":1551571200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2019,3,3]]},"abstract":"<jats:p>Acute myocardial infarction due to a coronary embolic event can occur as a complication of infective endocarditis in up to 2.9% of cases and can frequently be the presenting symptom. A 35-year-old female presented with 4 hours of typical chest pain and was found to have ST elevations in inferior leads as well as an elevated serum Troponin I of 8.29 ng\/ml (normal: &lt;0.06 ng\/ml). Urgent cardiac catheterization revealed total occlusion of the right coronary artery without other coronary disease or collaterals. Following a failed attempt at thrombus extraction, a <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn>3.0<\/mml:mn><mml:mo>\u00d7<\/mml:mo><mml:mn>38<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>mm<\/mml:mtext><\/mml:math> bioabsorbable drug-eluting stent was placed. Echocardiography then revealed large mobile aortic valve vegetations with the largest measuring <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn>1.4<\/mml:mn><mml:mo>\u00d7<\/mml:mo><mml:mn>1.7<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>cm<\/mml:mtext><\/mml:math>, severe tricuspid regurgitation with a <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn>1.1<\/mml:mn><mml:mo>\u00d7<\/mml:mo><mml:mn>0.5<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>cm<\/mml:mtext><\/mml:math> mobile vegetation on the anterior leaflet along with a patent foramen ovale with right-to-left shunting. Blood cultures identified <jats:italic>Enterococcus faecalis<\/jats:italic> in 4 of 4 vials. The patient underwent urgent replacement of tricuspid and aortic valves as well as 6 weeks of IV antibiotics followed by chronic antibiotic suppression.<\/jats:p>","DOI":"10.1155\/2019\/1348607","type":"journal-article","created":{"date-parts":[[2019,3,3]],"date-time":"2019-03-03T18:31:24Z","timestamp":1551637884000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction"],"prefix":"10.1155","volume":"2019","author":[{"given":"Mumtaz","family":"Zaman","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3556-2823","authenticated-orcid":true,"given":"Richard","family":"Loynd","sequence":"additional","affiliation":[{"name":"Tower Health System, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8294-6769","authenticated-orcid":true,"given":"Anthony","family":"Donato","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000296"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2007.12.041"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1157\/13097922"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-311624"},{"issue":"4","key":"5","first-page":"689","volume":"29","year":"1953","journal-title":"The American journal of pathology"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/yty032"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90535-H"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(09)70515-X"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/14.8.482"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960170613"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960201018"},{"issue":"3","key":"12","first-page":"144","volume":"17","year":"2012","journal-title":"Experimental & Clinical Cardiology"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.05.008"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199007193230305"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/1348607.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/1348607.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/1348607.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,3]],"date-time":"2019-03-03T18:31:27Z","timestamp":1551637887000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2019\/1348607\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,3]]},"references-count":14,"alternative-id":["1348607","1348607"],"URL":"https:\/\/doi.org\/10.1155\/2019\/1348607","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,3]]}}}