Obstruction of left ventricular outflow tract by a calcified mass at mitral valve

A case of an unusual left ventricular outflow tract obstruction by mitral valve pathology in a 35-year old female with diabetes and end-stage renal disease is presented in the study. The patient sufferedfrom fever of an unknown origin after lower-leg amputation. Although the wound healed well, fever...

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Bibliographic Details
Main Authors: Miro Bakula, Zeljka Gavranovic, Maja Bakula, Roman Urek, Nikola Jankovic, Goran Milicevic
Format: Article
Language:English
Published: Medical Association of Zenica-Doboj Canton 2010-08-01
Series:Medicinski Glasnik
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Online Access:http://www.ljkzedo.com.ba/medglasnik/vol72/MG7vol2_16.pdf
Description
Summary:A case of an unusual left ventricular outflow tract obstruction by mitral valve pathology in a 35-year old female with diabetes and end-stage renal disease is presented in the study. The patient sufferedfrom fever of an unknown origin after lower-leg amputation. Although the wound healed well, fever persisted for three weeks despite a triple antibiotic treatment until the infection was resolved with vancomycin.Three months later echocardiography displayed a floating mass attached to mitral valve, producing a newly developed systolicmurmur and a mild haemodynamic obstruction of the left ventricular outflow tract. The calcified vegetation was probably formed during an unrecognized subacute infective endocarditis.
ISSN:1840-0132
1840-2445