J Cardiovasc Ultrasound.  2008 Sep;16(3):84-86. 10.4250/jcu.2008.16.3.84.

Left Atrial Mural Endocarditis Diagnosed by Transesophageal Echocardiography in a Patient with Mitral Valve Prolapse

• Choi JY
• Kim KS

• KMID: 1486583
• DOI: http://doi.org/10.4250/jcu.2008.16.3.84

Abstract

Infective endocarditis (IE) is one of the major complications of the mitral valve prolapse (MVP) syndrome and usually involves mitral valve (MV) and its accessory apparatus. Left atrial (LA) mural endocarditis is a condition of rarely diagnosed and the most feasible mechanism is related to the impact of regurgitant jet that causes endothelial damage and retrograde microorganisms dissemination. Echocardiography is essential in diagnosis and treatment of IE but in mural endocarditis, it may be difficult to find vegetation by standard view of transthoracic echocardiography (TTE). We report a case of LA mural endocarditis which was diagnosed by transesophageal echocardiography (TEE) in a patient with MVP.

Keyword

Mural endocarditis; Mitral valve prolapse; Transesophageal echocardiography

MeSH Terms

Echocardiography
Echocardiography, Transesophageal
Endocarditis
Humans
Mitral Valve
Mitral Valve Prolapse