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European Journal of Echocardiography Advance Access originally published online on March 5, 2009
European Journal of Echocardiography 2009 10(3):476-478; doi:10.1093/ejechocard/jep020
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Infective endocarditis in a parachute-like asymmetrical mitral valve

Refai Showkathali*, Inderpaul Birdi and Azhar Khokhar

The Essex Cardiothoracic Centre, Basildon and Thurrock University Hospital NHS Foundation Trust, Nethermayne, Basildon SS16 5NL, UK

Received 14 December 2008; accepted after revision 10 February 2009; online publish-ahead-of-print 5 March 2009.

* Corresponding address. Tel: +44 1268394167; fax: +44 1268394179. E-mail address: refais{at}gmail.com


  Abstract

A 21-year-old woman was admitted to our unit with suspected infective endocarditis. Transthoracic and transoesophageal echocardiogram demonstrated vegetation in a parachute-like asymmetrical mitral valve with severe mitral regurgitation. She was completely asymptomatic before this presentation. Though there was no evidence of mitral stenosis, this deformity is associated with transvalvular turbulence, which would account for the increased likelihood of infective endocarditis. She underwent a prosthetic mitral valve replacement with a 21 mm ATS mechanical valve.

Keywords: Infective endocarditis; Parachute-like asymmetrical mitral valve; Vegetation; Parachute mitral valve; Mitral valve


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Eur J Echocardiogr, January 20, 2010; (2010) jep231v1.
[Abstract] [Full Text] [PDF]


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