title: Left atrial infective endocarditis with giant vegetation without involvement of the mitral valve--a case report of transesophageal echocardiography in diagnosis.
abstract: Cardiac valves are the most commonly victimized sites of infective endocarditis. The vegetations migrating outside the valves are quite rare. Echocardiography is a sensitive method for detecting these lesions. We report a case of unusual echocardiographic presentation of infective endocarditis. Transesophageal echocardiography showed a giant tonguelike echogenic mass, which attached to the posterior wall of left atrium without involving the mitral valve. Also, we discuss the differential diagnosis of infective endocarditis and myxoma, as well as the considerations of anesthetic management of intracardiac mass.
authors.affiliation: Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
authors.forename: Sin-Ei
authors.initials: SE
authors.lastname: Juang
authors.forename: Hui-Chun
authors.initials: HC
authors.lastname: Lai
authors.forename: Yuan-Chun
authors.initials: YC
authors.lastname: Lan
authors.forename: Tsun-Jui
authors.initials: TJ
authors.lastname: Liu
authors.forename: Hui-Chin
authors.initials: HC
authors.lastname: Lai
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging