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 Jun, Chang-Wook Nam, Yun-Kyeong Cho, Hyungseop Kim, Seong-Wook Han, Seung-Ho Hur, Yoon-Nyun Kim, Kwon-Bae Kim, Seong-Yeol Ryu
• Journal: International journal of cardiology (Int J Cardiol) Vol. 133 Issue 1 Pg. e3-5 (Mar 20 2009) ISSN: 1874-1754 [Electronic] Netherlands
• PMID: 18068831 (Publication Type: Case Reports, Letter)

Topics

• Adolescent
• Echocardiography
• Endocarditis, Bacterial (diagnostic imaging, microbiology)
• Heart Septal Defects, Atrial (complications, diagnostic imaging)
• Humans
• Male
• Mitral Valve (microbiology)
• Pulmonary Embolism (diagnostic imaging, etiology)
• Staphylococcal Infections (complications, diagnostic imaging)
• Tomography, X-Ray Computed