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Intracoronary stenting can successfully restore vessel patency in acute myocardial infarction caused by coronary embolism from endocarditis vegetation when balloon angioplasty fails.
A 37-year-old man, who had received 3 weeks of antimicrobial therapy for aortic value endocarditis, presented with an acute anteroseptal wall myocardial infarction. Coronary angiography demonstrated occlusion of the mid left anterior descending artery, thought to have been caused by embolization of a sterile vegetation. Following failure of balloon dilation to achieve vessel patency, this was achieved by placement of an intracoronary stent.
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Glazier et al. (1997) studied this question.
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