A 74-year-old man was admitted for infectious endocarditis 12 years after aortic valve replacement with a mechanical prosthesis. Echocardiography showed vegetations and prosthetic dysfunction; blood cultures identified Streptococcus gallolyticus . Antibiotherapy according to the antibiogram was administered while severe respiratory insufficiency contraindicated new surgery (figure 1). Figure 1 Septic coronary embolism: coronary angiography before (A) and after aspiration therapy (B); …
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Motreff et al. (2010) studied this question.