Key result
Transesophageal echocardiography allowed direct visualization of the full extent of mitral valve endocarditis spreading to the left atrium along the path of an eccentric regurgitant jet lesion.
Case Report (n=1)
Transesophageal echocardiography is useful for fully defining the extent of endocarditis by focusing on the path of eccentric regurgitant jets.
May inform TEE protocols for mapping eccentric jet-related spread; leaves open generalizability and outcome impact.
The jet lesions of valvular regurgitation or intracardiac shunts have been hypothesized to play an important role in the pathogenesis of endocarditis for many years. We describe a case of mitral valve endocarditis that involved the left atrium along the path of a jet lesion. This resulted in atrial endocarditis and pericarditis, both of which complicated her presentation and hospital course. Using transesophageal echocardiography, we were able to directly visualize the path and full extent of infection prior to surgery. Special attention should be focused upon the path of eccentric jets in order to fully define the extent of endocarditis.
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Gregory et al. (2005) conducted a case report in Mitral valve endocarditis (n=1). Transesophageal echocardiography was evaluated on Direct visualization of the path and full extent of infection. Transesophageal echocardiography allowed direct visualization of the full extent of mitral valve endocarditis spreading to the left atrium along the path of an eccentric regurgitant jet lesion.
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