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J Korean Med Sci. 2013 Aug;28(8):1244-7. doi: 10.3346/jkms.2013.28.8.1244. Epub 2013 Jul 31.

Effectiveness of mechanical embolectomy for septic embolus in the cerebral artery complicated with infective endocarditis.

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  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.

Abstract

There has been a controversy over data of thrombolytic and endovascular surgical treatment about cerebral infarction secondary to infective endocarditis. We report a woman who received early mechanical embolectomy as a treatment of acute stroke with infective endocarditis. A 35-yr-old woman was hospitalized due to right hemiparesis. Brain image showed cerebral infarction at the middle cerebral artery and echocardiography demonstrated vegetation at the mitral valve. She was successfully treated with embolectomy and parenteral antibiotics without any neurologic sequelae. This report shows that the early retrieve of septic cerebral emboli can be a helpful treatment of acute stroke associated with endocarditis.

KEYWORDS:

Acute Ischemic Stroke; Infective Endocarditis; Mechanical Embolectomy

PMID:
23960455
[PubMed - indexed for MEDLINE]
PMCID:
PMC3744716
Free PMC Article
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