If the bedside echocardiogram was able to detect the aortic valve vegetation
, the patient would have been evaluated directly by TEE rather than TTE followed by TEE.
The diagnosis of bacterial endocarditis with severe aortic valve vegetation
was made after a transthoracic echocardiography was performed.
Caption: Transthoracic Echo--Tricuspid Valve Vegetation
Two-dimensional echocardiography image showing a 4-mm mobile mitral valve vegetation
After discussion with the family regarding the patient's critically ill state and poor prognosis, a decision was made to transfer her to our facility for debulking of the tricuspid valve vegetation
using the AngioVac system.
Mitral valve vegetation
and mitral regurgitation was the commonest valvular lesion in our study and minority of the patients had Tricuspid regurgitation as well.
Both transthoracic and transesophageal echocardiograms demonstrated a subcentimeter aortic valve vegetation
(Figure 1), moderate aortic regurgitation, and hypokinesis of the inferolateral left ventricular wall.
or Coxiella burnetii, Brazil * Patient Serum IgG Immunohistochemical no., by [greater than analysis of cardiac infection or equal to] valve vegetation
type 800 by IFA ([dagger]) Bartonella C.
A resident who came to do a physical exam asked, "Has anyone told you that you had a heart murmur?" An echocardiogram revealed a mitral valve vegetation
, which had gradually destroyed the valve.
TTE done at week 2 of treatment and at the end of antimicrobial therapy showed complete disappearance of the mitral valve vegetation
A transesophageal echocardiogram was performed to better visualize the mitral valve vegetation
, revealing a 4.3 cm elongated mass attached to the base of the anterior mitral valve leaflet (Figure 3), accompanied by severe mitral regurgitation.
A preoperative transesophageal echocardiogram (FIGURE 3) confirms earlier findings and additionally reveals a small mitral valve vegetation
. At surgery, the aortic valve is resected and replaced; a perivalvular abscess is drained.