What is the clinical evidence from this study?

Study design: Case Report. Population: Staphylococcus aureus infective mural endocarditis with LVOT obstruction (n=1). Intervention: Surgical resection and intravenous antibiotics. Primary outcome: Resolution of obstruction and discharge from hospital.

What does this research mean for the field?

Infective mural endocarditis presenting with a septal vegetative mass can cause left ventricular outflow tract obstruction and syncope, which can be successfully treated with surgical resection. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 21, 2015BMJ Case ReportsOpen Access

Syncope secondary to left ventricular outflow tract obstruction, an interesting presentation of infective endocarditis

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Key result

Surgical resection of a large infective endocarditis vegetation resolves LVOT obstruction.

Why the study?

Left ventricular outflow tract obstruction caused by infective mural endocarditis is an unusual presentation that can lead to syncope and exertional shortness of breath.

Population

A 74-year-old woman with Staphylococcus aureus infective mural endocarditis causing LVOT obstruction

Design

Case report

Authors

SHShohreh HonarbakhshElectrophysiology MCMohammad Moinuddin ChowdhuryBarking, Havering And Redbridge University Hospitals NHS Trust FFFahad FarooqiKing George Hospital

Discussion

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Implication

Clinicians should consider mural IE in unexplained LVOT obstruction; this Level 5 case leaves open optimal management strategies.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 74-year-old woman presenting with syncope and exertional shortness of breath diagnosed with Staphylococcus aureus infective mural endocarditis causing LVOT obstruction.

Intervention

Surgical resection of the vegetative mass and intravenous antibiotics

Outcome

Resolution of obstruction and hospital discharge

Infective mural endocarditis can present unusually with syncope due to LVOT obstruction, which can be successfully managed with surgical resection.

Cite This Study

Honarbakhsh et al. (2015) conducted a case report in Staphylococcus aureus infective mural endocarditis with LVOT obstruction (n=1). Surgical resection and intravenous antibiotics was evaluated on Resolution of obstruction and discharge from hospital. Surgical resection of a large vegetative mass causing left ventricular outflow tract obstruction in a 74-year-old woman with infective endocarditis resulted in resolution of the obstruction.

synapsesocial.com/papers/6aaa0ef1ff83923a72a4ecaa https://doi.org/10.1136/bcr-2015-211920

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Syncope secondary to left ventricular outflow tract obstruction, an interesting presentation of infective endocarditis

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Syncope secondary to left ventricular outflow tract obstruction, an interesting presentation of infective endocarditis

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

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