CASE REPORT Infectious Diseases, Microbiology & Parasitology http://dx.doi.org/10.3346/jkms.2013.28.8.1244 • J Korean Med Sci 2013; 28: 1244-1247 Effectiveness of Mechanical Embolectomy for Septic Embolus in the Cerebral Artery Complicated with Infective Endocarditis Gimoon Kang,1 Tae Ki Yang,2 There has been a controversy over data of thrombolytic and endovascular surgical treatment Joon Hyouk Choi,1 and Sang Taek Heo1 about cerebral infarction secondary to infective endocarditis. We report a woman who received early mechanical embolectomy as a treatment of acute stroke with infective 1 2 Departments of Internal Medicine, Neurosurgery, endocarditis. A 35-yr-old woman was hospitalized due to right hemiparesis. Brain image Jeju National University School of Medicine, Jeju, Korea showed cerebral infarction at the middle cerebral artery and echocardiography demonstrated vegetation at the mitral valve. She was successfully treated with Received: 30 November 2012 embolectomy and parenteral antibiotics without any neurologic sequelae. This report Accepted: 10 April 2013 shows that the early retrieve of septic cerebral emboli can be a helpful treatment of acute Address for Correspondence: stroke associated with endocarditis. Sang Taek Heo, MD Division of Infectious Diseases, Department of Internal Medicine, Key Words: Mechanical Embolectomy; Acute Ischemic Stroke; Infective Endocarditis Jeju National University School of Medicine, 102 Jejudaehak-ro, Jeju 690-756, Korea Tel: +82.64-717-1296, Fax: +82.64-717-1131 E-mail:
[email protected] INTRODUCTION kocyte count (8,600/mL), and a platelet count of 193,000/μL. The serum C-reactive protein level was 3.48 mg/dL and an Neurological deficits in the setting of infective endocarditis (IE) erythrocyte sedimentation rate was 53 mm/h.