Coronary artery septic embolisation resulting in cardioembolic myocardial infarction (MI) is a rare complication of bacterial infective endocarditis (IE), representing <1% of complications related to IE [1Manzano M.C., Vilacosta I., San Roman J.A., Aragoncillo P., Sarria C., Lopez D., et al. Acute coronary syndrome in infective endocarditis Rev Esp Cardiol 2007 ;  60 (1) : 24-31 [cross-ref]

Cliquez ici pour aller à la section Références]. Diagnosis requires a combination of high clinical suspicion, coronary angiography, echocardiography and cultures of peripheral blood and/or embolic material. The associated mortality rate remains high despite early diagnosis [2Fabri J., Issa V.S., Pomerantzeff P.M., Grinberg M., Barretto A.C., Mansur A.J. Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis Int J Cardiol 2006 ;  110 (3) : 334-339 [cross-ref]

Cliquez ici pour aller à la section Références]. Optimal interventional therapy is unknown with published international experience over the past two decades limited to very small case series and individual case reports [3Roxas C.J., Weekes A.J. Acute myocardial infarction caused by coronary embolism from infective endocarditis J Emerg Med 2007 ;  40 (5) : 509-514

Cliquez ici pour aller à la section Références]. We present a case of ST elevation MI resulting from coronary artery septic embolisation with an accompanying comprehensive review of the literature.