Obstruction of left ventricular outflow tract by a calcified mass at mitral valve.
A case of an unusual left ventricular outflow tract obstruction by mitral valve pathology in a 35-year old female with diabetes and end-stage renal disease is presented in the study. The patient suffered from fever of an unknown origin after lower-leg amputation. Although the wound healed well, fever persisted for three weeks despite a triple antibiotic treatment until the infection was resolved with vancomycin. Three months later echocardiography displayed a floating mass attached to mitral valve, producing a newly developed systolic murmur and a mild haemodynamic obstruction of the left ventricular outflow tract. The calcified vegetation was probably formed during an unrecognized subacute infective endocarditis.
Department of Cardiology, Clinical Hospital Sveti Duh, Medical School Zagreb and Medical School Osijek.
Miro
M
Bakula
Zeljka
Z
Gavranovic
Maja
M
Bakula
Roman
R
Urek
Nikola
N
Jankovic
Goran
G
Milicevic
D000328:Adult; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008943:Mitral Valve; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis / Q000209:etiology*