Septic Embolization from Aortic Valve Endocarditis Presenting as Acute Stemi

Embolic events are a well-documented complication of bacterial endocarditis. Coronary artery septic emboli are a much less common manifestation of endocarditis, and can very rarely present as a myocardial infarction (MI) [1]. Though no consensus exists on the best management for these patients, conventional reperfusion strategies often prevail in light of the time constraints surrounding an acute MI [2]. Here we present the case of a septic coronary embolism in a patient with undiagnosed endocarditis who presented with an acute ST-segment elevation myocardial infarction (STEMI) and the subsequent management.