J Cardiovasc Ultrasound.  2015 Jun;23(2):119-120. 10.4250/jcu.2015.23.2.119.

Simultaneous Bilateral Infective Endocarditis with Right Ventricular Mural Involvement

• de Zuttere D
• Lardoux H
• Rocha P
• Plassart S
• Sana-Sillard J
• Grinda JM

• KMID: 1806926
• DOI: http://doi.org/10.4250/jcu.2015.23.2.119

Abstract

No abstract available.

Keyword

Echocardiography; Endocarditis; Infective endocarditis; Cardiac surgery

MeSH Terms

Echocardiography
Endocarditis*
Thoracic Surgery

Figure

• 

  Fig. 1 Transthoracic (two-dimensional and three-dimensional) and two-dimensional transesophageal echocardiography display of the endocarditic lesions, and surgical view of the right-sided vegetation. A: Two-dimensional transthoracic echocardiography (parasternal long-axis view) showing an irregularly shaped vegetation rising from the root of the posterior mitral valve leaflet (arrows). B: Real-time three-dimensional transthoracic echocardiography (parasternal long-axis view) showing a huge vegetation attached to upper portion of the right side of the interventricular septum. The same vegetation displayed by two-dimensional transesophageal echocardiography (C: mid-esophageal right ventricular outflow view, transducer angle 77°; D: mid-esophageal long-axis right ventricular outflow view, transducer angle 119°; E: mid-esophageal right chambers view, transducer angle 0°). F and G: The left heart vegetative lesion displayed by two-dimensional transesophageal echocardiography (F: mid-esophageal four-chamber view, transducer angle 0°; G: mid-esophageal two-chamber, transducer angle 89°). H: Transesophageal two-dimensional color Doppler flow recording of the mitral regurgitation (mid-esophageal two-chamber, transducer angle 89°). I: Intraoperative surgeon's view (right infundibulotomy ventricular free wall approach) of the vegetation attached to the right side of the interventricular septum.

Reference

1. Yao F, Han L, Xu ZY, Zou LJ, Huang SD, Wang ZN, Lu FL, Yao YL. Surgical treatment of multivalvular endocarditis: twenty-one-year single center experience. J Thorac Cardiovasc Surg. 2009; 137:1475–1480.