Infective Endocarditis with Myocardial Abscesses complicating Percutaneous Transluminal Coronary Angioplasty
Toshihiko Shibata MD, Hidekazu Hirai MD, Hiromichi Fujii MD, Takanobu Aoyama MD, Shigefumi Seuhiro MD

A 73-year-old man who had undergone percutaneous transluminal coronary angioplasty developed infectious endocarditis caused by Staphylococcus aureus. Echocardiography revealed vegetations of the aortic valve and severe aortic regurgitation. Aortic replacement was performed to treat progressive heart failure. However, the patient could not be weaned off cardiopulmonary bypass, and subsequently died. A post-mortem examination revealed multiple myocardial microabscesses and myocardial infarction due to embolic vegetation.