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Case 2

A 56-year-old female patient was admitted to the clinic due to acute ischemic stroke development. She complained of fatigue, weight loss and subfebrile fever for the last three weeks. Her history was remarkable for rheumatic fever and joint ache 40 years ago.

Transthoracic echocardiography (TTE) was performed which revealed a normal left ventricular ejection fraction (LVEF) 68%, enlarged left atrium (left atrium indexed volume 99 ml\m2), mitral valve mean diastolic gradient 6 mmHg. Mitral valve area (MVA) by 3D planimetry was 2.0 cm2, MV effective regurgitant orifice area (EROA) was 0.18 cm2, regurgitation volume was 25 mL.

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Case Studies in Infective Endocarditis an Update, part 1

Case 2