Obstruction of left ventricular outflow tract by a calcified mass at mitral valve
Bakula, M.; Gavranovic, Z.; Bakula, M.; Urek, R.; Jankovic, N.; Milicevic, G.
Medicinski Glasnik Official Publication of the Medical Association of Zenica-Doboj Canton Bosnia and Herzegovina 7(2): 175-177
2010
ISSN/ISBN: 1840-0132 PMID: 21258317 Document Number: 646694
A case of an unusual left ventricular outflow tract obstruction by mitral valve pathology in a 35-year old female with diabetes and end-stage renal disease is presented in the study. The patient suffered from fever of an unknown origin after lower-leg amputation. Although the wound healed well, fever persisted for three weeks despite a triple antibiotic treatment until the infection was resolved with vancomycin. Three months later echocardiography displayed a floating mass attached to mitral valve, producing a newly developed systolic murmur and a mild haemodynamic obstruction of the left ventricular outflow tract. The calcified vegetation was probably formed during an unrecognized subacute infective endocarditis.