Abstract
A 39-year-old man was admitted for a febrile congestive heart failure. Echocardiography revealed large vegetations on the mitral and aortic valves associated to a large mobile vegetation attached to the left ventricular outflow wall. Three days after the initiation of an intensive medical and antibiotic therapy, he underwent a double prosthetic valve replacement because of massive mitral regurgitation with cardiac heart failure. Culture of the vegetations identified a streptococcus. Long term outcome was uneventful. Bacterial inoculation of the parietal endocardium in valvular endocarditis is extremely rare and was probably due to lesions caused by previous regurgitation in our patient.
Recommended Citation
Z Ibn Elhadj, M Boukhris, I Kammoun, A Ben Halima, Double Site Left Heart Endocarditis With Ventricular Outflow Tract Mural Vegetation Journal of the Hong Kong College of Cardiology 2014;22(1) https://doi.org/10.55503/2790-6744.1028
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