title: Unusual pulmonary venous flow profile in a patient with mitral valve perforation secondary to bacterial endocarditis.
abstract: Pulmonary venous flow patterns have been well described in the literature to assess severity of mitral regurgitation (MR) and the degree of diastolic dysfunction. We report a case of posterior mitral leaflet perforation due to bacterial endocarditis causing an alteration of pulmonary venous flow, not previously described in the literature. This pulmonary venous flow pattern is unique in that it reflects dynamic changes in left atrial pressure in the background of severe MR.
authors.affiliation: Wayne State University School of Medicine, Detroit, Michigan, USA.
authors.forename: Shalini
authors.initials: S
authors.lastname: Modi
authors.forename: Deepak
authors.initials: D
authors.lastname: Koul
authors.forename: Luis
authors.initials: L
authors.lastname: Afonso
mesh_terms: D000328:Adult; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000601:surgery; D011667:Pulmonary Veins / Q000503:physiopathology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis