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Updated: Sep 23, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Culture-negative suppurative endocarditis causing severe mitral valve obstruction: complementary use of
Debasish Roychoudhury1, Vithaya Chaithiraphan, Ioannis A Stathopoulos
1Department of Medicine, The New York Hospital Medical Center of Queens, Flushing, NY 11355, USA. dxroycho@nyp.org
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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