Coronary angiography in patients with aortic valve endocarditis carries a risk of fatal coronary artery embolization.
Coronary angiography may risk fatal embolization in aortic valve endocarditis; this case leaves open the need for safety data.
Coronary artery embolization has been associated with sudden cardiac death. It is more commonly seen with aortic valve endocarditis. It manifests as acute myocardial ischemia or infarction, causing instability of the cardiac rhythm, which may be fatal. We report a patient with aortic valve endocarditis who had sudden cardiac death following coronary angiography. Autopsy revealed embolic occlusion of the left main coronary artery.
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Shamsham et al. (2000) studied this question.
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