12 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... - Echocardiogram ... Ivan_Echocardio #MitralValve ... #abscess #Echocardiogram ... #POCUS #Clinical
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... Here you see a vegetation ... #MitralValve #Endocarditis ... #clinical #cardiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
MVP, subacute endocarditis ... Assess for MR when ... you see ruptured ... #Ultrasound #Clinical ... #Cardiology #MitralValve
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
or intracardiac abscess ... histology of a vegetation ... or intracardiac abscess ... involvement - Echocardiogram ... Vascular phenomena • Immunologic
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
effusion, myocardial abscess ... VLSorrellImages #mitralvalve ... #endocarditis # ... myocardial #abscess ... #clinical #cardiology
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
consistent with a vegetation ... secondary to endocarditis ... #Clinical #POCUS ... #Echocardiogram ... #MitralValve #Vegetation
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... conditions: Autoimmune (SLE ... false-negative results: vegetation ... already embolised, Vegetations ... common, Aortic root abscess
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Autoimmune (SLE ... • Petechiae Immunologic ... formation • Other vegetations ... Complications: Abscess ... -mm left sided vegetations
Tricuspid regurgitation is present on this subxiphoid view of a patient diagnosed with endocarditis. If you
carefully, you can see ... the vegetation ... #Endocarditis #Vegetation ... regurgitation #cardiology #clinical ... #echocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... • Autoimmune (SLE ... • Petechiae Immunologic ... formation • Other vegetations ... -mm left sided vegetations