A 71-YEAR-OLD man with a history of coronary artery disease, moderate aortic stenosis,
and arterial hypertension was scheduled for aortic valve replacement and possible
aortic root replacement. One month before admission, he was treated for methicillin-sensitive
Staphylococcus aureus endocarditis. A transthoracic echocardiogram revealed a lesion on the mitral valve
that was suspected to be a vegetation associated with mild mitral regurgitation. The
patient began a course of intravenous oxacillin as an outpatient. Two weeks later,
the patient was admitted to the hospital with signs of worsening acute congestive
heart failure. At that time, a transesophageal echocardiogram (TEE) was reported to
show a mobile density on the mitral valve, a flail posterior mitral leaflet, and severe
mitral regurgitation. A small fluid collection was noted in the posterolateral wall
of the aortic root. After optimization, the patient was brought to the operating room
for mitral valve and aortic valve replacement surgery.
Key words
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Article info
Publication history
Published online: May 03, 2010
Footnotes
Paul S. Pagel, MD, PhD
Section Editors
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
