Vegetation Attached to the Left Interatrial Septal Surface at the Congenital Location of the Foramen Ovale: A Rare Occurrence.
BACKGROUND Non-valvular mural infective endocarditis (IE) is a rare bacterial growth on cardiac walls. Several risk factors have been reported. Echocardiography is an important diagnostic modality for diagnosing vegetation attached to the intracardiac walls. CASE REPORT We present the case of a 57-year-old man admitted with Staphylococcus aureus bacteremia due to an infected tunnelled hemodialyses catheter. Transthoracic echocardiogram did not show any abnormality, but transesophageal echocardiogram (TEE) revealed a 1.7×0.8 cm mobile echo-density attached to the surface of the interatrial septum in the left atrium, where the foramen ovale (FO) exists in utero. The patient was transferred to another facility for re-do sternotomy cardiac surgery, where these findings were confirmed intraoperatively. A biopsy of the mass was taken, which confirmed it to be a vegetation attached to the FO. CONCLUSIONS We report the first case in the literature of vegetation attached to the surface of the interatrial septum in the left atrium at the congenital location of the foramen ovale. There have been no previously reported cases in the literature with such novel imaging findings.
Department of Nephrology, Drexel University College of Medicine, Philadelphia, PA, USA.
Waqas Javed
WJ
Siddiqui
Department of Medicine, Saint Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Ishan
I
Acharya
Department of Pulmonary and Critical Care, University of Tennessee, Memphis, TN, USA.
Praneet
P
Iyer
Department of Medicine, Saint Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Muhammad Yasir
MY
Khan
Department of Medicine, Saint Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Muhammad
M
Rafique
Department of Medicine, Saint Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Anand
A
Kaji
Department of Cardiology, St. Francis Medical Center, Seton Hall University, Trenton, NJ, USA.
Ketan
K
Gala
D001706:Biopsy; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000175:diagnosis; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis