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Ruptured Left Ventricular False Tendon Mimicking a Mural Vegetation.
Anuraag Sah1, Sherif Elkattawy1, Sahitya Posimreddy2
1Internal Medicine, Rutgers-New Jersey Medical Center/Trinitas, Elizabeth, USA.
Left ventricular false tendons are common heart structures with no clinical significance. A ruptured tendon, however, can mimic serious conditions like bacterial endocarditis.
Area of Science:
- Cardiology
- Pathology
Background:
- Left ventricular false tendons are common intracardiac structures found in approximately 50% of human hearts.
- These fibrous cords typically have no clinical or prognostic significance and are well-documented in medical literature.
Observation:
- A case report details an 80-year-old male patient with bacteremia caused by extended-spectrum beta-lactamase Escherichia coli.
- The patient presented with findings suggestive of endocardial involvement.
Findings:
- A partially ruptured left ventricular false tendon was identified.
- This rupture mimicked a mural vegetation, a potential sign of infective endocarditis.
Implications:
- Ruptured false tendons can present as diagnostic challenges, mimicking serious cardiac pathology.
- Accurate differentiation is crucial for appropriate patient management, especially in the context of bacteremia.
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