Refractory left atrial mural endocarditis secondary to a mitral valve jet lesion requiring thoracotomy: a case report.

ABSTRACT:

Background

Infective endocarditis (IE) lesions rarely exist only in the endocardium, except on the valves. Such lesions are usually treated with the same strategy used to treat valvular IE. Depending on the causative organisms and degree of intracardiac structure destruction, it might be cured with conservative treatment consisting of antibiotics alone.

Case summary

A 38-year-old woman had a continuous high fever. Echocardiography revealed a vegetation located on the endocardial side of the posterior wall of the left atrium, from the valve ring on the side of the posteromedial scallop, which was exposed to a mitral regurgitation jet. Mural endocarditis caused by methicillin-sensitive Staphylococcus aureus (MSSA) was diagnosed based on blood cultures. Splenic infarctio

SUBMITTER: Matsumura MN 

PROVIDER: S-EPMC10190162 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature