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Vegetative Bacterial Endocarditis on the Prolapsing Mitral ValveEchocardiographic Evaluation
Michael S. Horowitz, MD;
Leon G. Smith, MD
Arch Intern Med. 1977;137(6):788-790.
Abstract
Vegetative endocarditis on the prolapsing mitral valve can be diagnosed with an echocardiogram and the response to therapy can be followed with this technique. A dense mass of fuzzy echoes was noted on the prolapsing posterior leaflet of an echocardiogram from a patient with endocarditis. Three months after the initiation of antibiotic therapy, this mass of echoes had disappeared and was replaced by a dense linear echo, suggesting fibrosis of the part of the mitral valve that had been infected previously. Persistence of the echocardiographic evidence of endocarditis, despite negative blood cultures, may indicate persistence of the risk of peripheral embolization.
(Arch Intern Med 137:788-790, 1977)
Author Affiliations
From the Division of Cardiology, Mountainside Hospital, Montclair, NJ (Dr Horowitz), and the Department of Medicine, St Michael's Medical Center, Newark, NJ (Dr Smith).
Footnotes
Accepted for publication May 20, 1976.
Reprint requests to Division of Cardiology, Mountainside Hospital, Bay and Highland Avenues, Montclair, NJ 07042 (Dr Horowitz).
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