Pathoanatomic, Pathophysiologic and Clinical Correlations in Endocarditis

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Abstract
EmbolizationExcept for congestive heart failure, arterial emboli are the most frequent complications of infective endocarditis. The clinically detected incidence of these emboli has decreased from between 70 and 97 per cent before antibiotic therapy to between 15 and 35 per cent at present 40, 50 51 52 53 The most common sites are the coronary vessels, spleen, kidneys and brain. Splenic emboli have been discovered at autopsy in 44 per cent of cases but are rarely detected clinically. Renal infarcts have been found in as many as 56 per cent of fatal cases40 but are clinically recognized less often. Myocardial infarction, often undetected by . . .

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