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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Successful treatment of ST elevation myocardial infarction caused by septic embolus with the use of a thrombectomy catheter in infective endocarditis
  1. John Whitaker1,
  2. Mrinal Saha1,
  3. Rahul Fulmali2,
  4. Divaka Perera3
  1. 1Department of Cardiology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  2. 2Department of Histopathology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  3. 3Department of Cardiology, Rayne Institute, London, UK
  1. Correspondence to Dr John Whitaker, john.whitaker{at}


A 71-year-old patient suffered a transmural (ST elevation) myocardial infarction (MI) as a result of a septic embolus from an infected tissue aortic valve replacement. Following failed fibrinolysis, his MI was successfully treated with thrombectomy using an export catheter. He suffered bleeding complications following the administration of tenectaplase and required aortic valve and root replacement due to ongoing systemic embolisation.

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  • Competing interests None.

  • Patient consent Obtained.

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