The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 128-130, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Acute mitral valvular obstruction from infective endocarditis: echocardiographic diagnosis and report of the second successfully treated case
JG Copeland, NW Salomon, EB Stinson, RL Popp and NE Shumway
Severe mitral stenosis of rapid onset and progression was observed in a
patient with infective endocarditis superimposed upon mild rheumatic mitral
valvular stenosis. This severe stenosis resulted from large vegetations
impinging upon the mitral valve orifice. Preoperative studies indicating
mitral stenosis with vegetations and pulmonary edema were followed by
emergency mitral valve replacement, which was sucessful.