Related Experiment Video
Updated: Jun 27, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Unusual presentation and echocardiographic management of giant mural endocarditis occurring simultaneously with
Arezoo Zoroufian1, Mohammad Sahebjam, Ebrahim Nematipour
1Department of Cardiology, Division of Echocardiography, Medical Sciences/University of Tehran, Tehran, Iran. azoroufian@gmail.com
Abstract:
We describe a 32-year-old man who presented in a febrile, unconscious state with unusual staphylococcal endocarditis. We diagnosed the patient's illness by using transthoracic echocardiography (TTE), which revealed a giant vegetation on the left ventricular lateral wall. The patient had history of aortic valve replacement and coarctoplasty. Conservative treatment using repeated TTEs resulted in successful management of endocarditis and embolic brain abscess. After discharge, the patient underwent aortic reconstruction for the aneurysmatic dilatation of ascending aorta. This report confirms that chronic endocardial trauma may provide a fertile nidus for the development of bacterial vegetation. The clinical, echocardiographic, and laboratory findings contributed to therapeutic decision-making in the management of this case.
Related Concept Videos
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aneurysm III: Interprofessional Care
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm I: Introduction
Aortic Regurgitation III: Medical Management
Endocarditis III: Medical Management

