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Culture-negative suppurative endocarditis causing severe mitral valve obstruction: complementary use of transesophageal and transthoracic echocardiography.

Debasish Roychoudhury·Vithaya Chaithiraphan·Ioannis A Stathopoulos·Icilma Fergus·Anthony Tortolani·Marina A Murkis·Frank Messineo
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Abstract

Infective endocarditis causes a myriad number of serious complications. Mitral valve obstruction is a rare complication. We report a 48-year-old Asian female who presented with two-week duration of fever and rapidly developed acute pulmonary edema and cardiogenic shock. Sequential transthoracic and transesophageal echocardiography revealed a rapidly growing vegetation on the anterior mitral leaflet with severe stenosis of the valve. All the blood cultures were negative. The patient underwent a successful mitral valve replacement. A review of 21 previously reported cases of mitral valve obstruction from endocarditis demonstrates the poor prognosis of this entity and supports early surgery.

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EchocardiographyEchocardiography, TransesophagealEndocarditis, BacterialFemaleHumansMiddle AgedMitral ValveMitral Valve StenosisCase ReportsJournal ArticleReview

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BibTeXRIS

Debasish Roychoudhury, Vithaya Chaithiraphan, Ioannis A Stathopoulos, Icilma Fergus, Anthony Tortolani, Marina A Murkis, Frank Messineo. 2003. Culture-negative suppurative endocarditis causing severe mitral valve obstruction: complementary use of transesophageal and transthoracic echocardiography.. https://doi.org/10.1046/j.1540-8175.2003.03080.x

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