title: Pulmonary emboli originating from infective endocarditis of the mitral valve migrating through an atrial septal defect.
abstract: We report a case of infective endocarditis of the mitral valve, which was accompanied by pulmonary emboli traveling through an atrial septal defect. An 18-year-old male was admitted to our hospital due to a fever, polyarthritis and subcutaneous hemorrhage. Transthoracic echocardiography revealed a mobile mass and possible vegetation lodged in the mitral valve and a secundum-type atrial septal defect. Computed tomography revealed a hepatic, splenic and renal embolic infarction. During antibiotic therapy, he felt a sudden right flank pain. Follow-up computed tomography revealed a pulmonary embolic infarction that drifted through an atrial septal defect. This association is the first report, of pulmonary emboli which migrated through an atrial septal defect from the mitral valve.
authors: Dong-Hwan
authors: DH
authors: Jun
authors: Chang-Wook
authors: CW
authors: Nam
authors: Yun-Kyeong
authors: YK
authors: Cho
authors: Hyungseop
authors: H
authors: Kim
authors: Seong-Wook
authors: SW
authors: Han
authors: Seung-Ho
authors: SH
authors: Hur
authors: Yoon-Nyun
authors: YN
authors: Kim
authors: Kwon-Bae
authors: KB
authors: Kim
authors: Seong-Yeol
authors: SY
authors: Ryu
mesh_terms: D000293:Adolescent; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology*; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000382:microbiology*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed