Journal Information
Vol. 45. Issue 1.
Pages 63-64 (January - February 2021)
Vol. 45. Issue 1.
Pages 63-64 (January - February 2021)
Images in Intensive Care Medicine
Full text access
Endocarditis on a native mitral valve calcified by irradiation
Endocarditis sobre una válvula mitral nativa calcificada por irradiación
Visits
3290
L. López-Rodríguez, D. Carriedo-González, J.A. Álvarez-Fernández
Corresponding author
jalvarez@dragonet.es

Corresponding author.
Servicio de Medicina Intensiva y Grandes Quemados, Hospital Universitario de Getafe, Getafe, Madrid, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

A 61-year-old woman presented with a history of infiltrating ductal carcinoma of the left breast subjected to radiotherapy, and several episodes of left-side mastitis secondary to radiodermatitis. The patient was admitted due to fever and diminished consciousness. The diagnosis was initially assumed to be bacterial meningitis, but was subsequently reoriented toward mastitis with oxacillin-sensitive Staphylococcus aureus bacteremia. The intensivists in the ICU performed clinical transthoracic echocardiography from the apical window and focused on the mitral valve (Fig. 1), which revealed moderate valve insufficiency with suspected endocarditis of the posterior leaflet (arrows). A first protocolized transthoracic echocardiographic study was requested and performed in the ICU by the Department of Cardiology, with the exclusion of endocarditis. The patient was moved to the ward, and after 24h developed fever and severe supraventricular tachycardia. Admission to the Coronary Unit was decided, where a protocolized transesophageal echocardiographic study from the mid-esophageal window and focused on the mitral valve with 3D reconstruction (“surgeon view”) (Fig. 2) confirmed the presence of an endocarditis vegetation on the posterior leaflet (arrow) of the native mitral valve calcified by irradiation.

Figure 1
(0.13MB).
Figure 2
(0.26MB).

Please cite this article as: López-Rodríguez L, Carriedo-González D, Álvarez-Fernández JA. Endocarditis sobre una válvula mitral nativa calcificada por irradiación. Med Intensiva. 2021;45:63–64.

Copyright © 2019. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?