Document Detail

Mitral valve prolapse: jet stream causing mural endocarditis.
MedLine Citation:
PMID:  6444492     Owner:  NLM     Status:  MEDLINE    
A 53 year old man died of cerebral hemorrhage while being treated for Streptococcus mutans endocarditis. At autopsy the only endocarditic lesion was on the left atrial mural endocardium. The noninfected mitral valve demonstrated prolapse and mucinous degeneration. The latter had led to rupture of several chordae tendineae, with the resultant jet stream predisposing to endocarditis at its point of atrial impact. The case provides confirmation of current concepts of the pathogenesis of endocarditis and has important therapeutic implications.
M Ringer; D J Feen; M S Drapkin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  45     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1980 Feb 
Date Detail:
Created Date:  1980-04-17     Completed Date:  1980-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  383-5     Citation Subset:  AIM; IM    
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MeSH Terms
Arteriosclerosis / pathology
Cardiomegaly / pathology
Chordae Tendineae / pathology
Endocarditis, Bacterial / etiology*
Endocardium / pathology
Heart Murmurs
Heart Sounds
Middle Aged
Mitral Valve / pathology
Mitral Valve Prolapse / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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