Related Experiment Video
Updated: Mar 3, 2026
07:42
An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
Published on: May 19, 2020
7.6K
Infective Endocarditis Complicated with Anterior Mitral Leaflet Abscess: A Case Report
Sushama Krishnat Jotkar1, Gayatri Gurudas Harshe1, Vivek B Chavan1
1Department of Medicine, Dr. Dnyandeo Yashwantrao Patil Medical College and University, Kolhapur, Maharashtra, India.
Journal of Cardiovascular Echography
|May 4, 2017
Summary
Infective endocarditis, a serious heart infection, can lead to severe complications like abscesses and heart failure. This case highlights the challenges in managing complex infective endocarditis, even with available treatments.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Infective endocarditis (IE) involves heart surface infection, potentially causing severe valvular issues and heart failure.
- Abscess complications significantly increase IE mortality despite treatment options.
Observation:
- A 42-year-old male with rheumatic heart disease presented with high-grade fever, vomiting, and cough.
- Clinical and echocardiographic evaluation confirmed IE with severe mitral regurgitation, moderate mitral stenosis, large vegetations, and a subvalvular abscess.
Findings:
- The patient experienced a prior embolic stroke and developed a Mallory-Weiss tear with severe hematemesis.
- Surgical intervention was contraindicated due to bleeding complications, leading to refractory pulmonary edema.
Implications:
- This case underscores the critical mortality associated with complicated infective endocarditis.
- Management challenges arise when surgical intervention is not feasible due to concurrent complications.
Related Concept Videos
01:22Mitral Stenosis I: Introduction
973
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
973
01:25Endocarditis I: Introduction
616
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
616
01:26Mitral Stenosis III: Medical Management
386
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
386
01:18Endocarditis III: Medical Management
292
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
292
01:25Endocarditis II: Clinical Features of Infective Endocarditis
645
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
645
01:20Mitral Regurgitation I: Introduction
750
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
750