| Literature DB >> 23001489 |
H-L Cheng1, W-C Lin, P-Y Shih, C-H Huang, Y-C Hsu, J-C Yie, S-Y Chen, C-P Lin.
Abstract
We present a case of a patient with underlying protein S deficiency who suffered from infective endocarditis with a large anterior mitral leaflet (AML) mass of approximately 4.5 cm in length. Intraoperative transesophageal echocardiography (TEE) revealed the mass at the AML base and a rupture of the posterior mitral leaflet chordae tendinae. The vegetation's large size may have been caused by one or more of three factors: location, underlying disease, and the microorganism causing infection. Patients with protein S deficiency are prone to thromboembolic events during cardiac surgery. Infective endocarditis caused by Streptococcus agalactiae usually has a poor prognosis, and, thus, early surgery is recommended.Entities:
Mesh：
Year: 2012 PMID： 23001489 DOI： 10.1007/s15010-012-0334-6
Source DB: PubMed Journal: Infection ISSN： 0300-8126 Impact factor: 3.553