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Culture‐Negative Suppurative Endocarditis Causing Severe Mitral Valve Obstruction: Complementary Use of Transesophageal and Transthoracic Echocardiography
Author(s) -
Roychoudhury Debasish,
Chaithiraphan Vithaya,
Stathopoulos Ioannis A.,
Fergus Icilma,
Tortolani Anthony,
Murkis Marina A.,
Messineo Frank
Publication year - 2003
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2003.03080.x
Subject(s) - medicine , cardiogenic shock , endocarditis , cardiology , infective endocarditis , mitral valve replacement , mitral valve , complication , stenosis , shock (circulatory) , surgery , pulmonary edema , myocardial infarction , lung
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. (ECHOCARDIOGRAPHY, Volume 20, July 2003)