title: Innocent left ventricular outflow tract membrane masquerading as vegetation.
abstract: Innocent left ventricular outflow tract (LVOT) membranes are a rare entity and found incidentally on echocardiography. The authors report a case of innocent LVOT membrane in a patient who was admitted with ischaemic stroke. Initial transthoracic echocardiography showed a possible valvular vegetation which was thought to be the cause of embolic stroke. Anticoagulation with coumadin and antibiotics were started. Subsequent Transesophageal echocardiography showed that it was more consistent with innocent LVOT membrane and not vegetation. Anticoagulation and antibiotics were discontinued, and on a follow-up over 5 years later, the membrane was stable in size and location without any complications.
authors: Department of Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA.
authors: Arshad
authors: A
authors: Javed
authors: Sandip
authors: S
authors: Zalawadiya
authors: Shaun
authors: S
authors: Cardozo
authors: Luis
authors: L
authors: Afonso
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001023:Aortic Valve Prolapse / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002545:Brain Ischemia / Q000209:etiology*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000209:etiology*; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants