12 results
Prosthetic Mitral Valve Endocarditis - No bueno!

- Dr. Said Alsidawi @AlsidawiMD

#Prosthetic #MitralValve #Endocarditis #Echocardiogram #POCUS #Clinical
Prosthetic Mitral ... Valve Endocarditis ... #Prosthetic #MitralValve ... #Endocarditis # ... POCUS #Clinical #Ultrasound
A very, very large tubular endocarditic mitral valve vegetation in computed tomography. 

Dr. Stephan Achenbach @
large tubular endocarditic ... mitral valve vegetation ... Steph_Achenbach #Endocarditis ... #MitralValve #Vegetation
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... a replacement valve ... Here you see a vegetation ... #MitralValve #Endocarditis
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... - VCU Ultrasound ... ultrasound_vcu #MitralValve ... #Infective #Endocarditis
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
demonstrate a mobile mitral ... with a vegetation ... secondary to endocarditis ... PLAX #Infective #Endocarditis ... #MitralValve #Vegetation
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Ischemic Stroke - Differential ... • Arrhythmias: Afib ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... , prosthetic valves ... , LV aneurysm, Endocarditis ... embolism, Occult a-fib ... Stroke #causes #differential
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... Causes #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
and Functional Mitral ... Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... Primary #Functional #Differential