Multivalvular Endocarditis With Granulicatella adiacens in a 2-Year-Old Boy With Ventricular Septal Defect

Figures

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  Figure 1. Echocardiogram of Vegetations: Mitral Valve Transthoracic apical 4-chamber view demonstrating a 24 × 10-mm vegetation on the mitral valve. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle; V = vegetation.

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  Figure 2. Echocardiogram of Vegetations: Mitral Valve and Right Ventricle Transthoracic parasternal long-axis view demonstrating the 24 × 10-mm vegetation (V∗) on the mitral valve. Another vegetation (Vˆ) is seen in the right ventricular outflow tract adhering to the septum, in proximity to ventricular septal defect. Abbreviations as in Figure 1.

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  Figure 3. Echocardiogram of Vegetation: Pulmonary Valve Transthoracic apical view focused on the pulmonary valve showing both vegetations on the pulmonary valve (V#) and in the right ventricular outflow tract (Vˆ). MPA = main pulmonary artery; RV = right ventricle.

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  Figure 4. Transesophageal Echocardiogram of Vegetation Four-chamber view demonstrating a large vegetation on the mitral valve, with resultant mitral regurgitation (MR). Abbreviations as in Figure 1.

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  Figure 5. Transesophageal Echocardiogram of Several Vegetations Long-axis view demonstrating a vegetation in the right ventricular outflow tract (RVOT), adjacent to the ventricular septal defect (VSD). AV = aortic valve; LVOT = left ventricular outflow tract.