Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract

Okoro, Kelechukwu U.; Larsen, Timothy R.; Lystash, John C.

Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract

dc.contributor.author	Okoro, Kelechukwu U.	en
dc.contributor.author	Larsen, Timothy R.	en
dc.contributor.author	Lystash, John C.	en
dc.date.accessioned	2017-09-18T09:33:40Z	en
dc.date.available	2017-09-18T09:33:40Z	en
dc.date.issued	2017-06-07	en
dc.date.updated	2017-09-18T09:33:40Z	en
dc.description.abstract	Endocarditis can affect any endocardial surface; in the vast majority of cases, the cardiac valves are involved. It is exceedingly rare to develop infective endocarditis on the endocardium of the left ventricular outflow tract due to the high velocity of blood that traverses this area. Herein, we present a rare case of left ventricular outflow tract endocarditis that likely occurred secondary to damage to the aortic valve leaflets (from healed prior aortic valve endocarditis) causing a high velocity aortic valve regurgitant jet that impinged upon the interventricular septum which damaged the endocardium and resulted in a fibrotic “jet lesion.” This fibrous jet lesion served as a nidus for bacterial proliferation and vegetation formation. The high shear stress (due to high blood flow velocity through the left ventricular outflow tract) likely promoted the multiple embolic events observed in this case. Our patient was successfully treated with aortic valve replacement, vegetation resection, and antibiotics.	en
dc.description.version	Published version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Kelechukwu U. Okoro, Timothy R. Larsen, and John C. Lystash, “Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract,” Case Reports in Medicine, vol. 2017, Article ID 4513623, 3 pages, 2017. doi:10.1155/2017/4513623	en
dc.identifier.doi	https://doi.org/10.1155/2017/4513623	en
dc.identifier.uri	http://hdl.handle.net/10919/78921	en
dc.language.iso	en	en
dc.publisher	Hindawi	en
dc.rights	Creative Commons Attribution 4.0 International	en
dc.rights.holder	Copyright © 2017 Kelechukwu U. Okoro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.	en
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	en
dc.title	Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract	en
dc.title.serial	Case Reports in Medicine	en
dc.type	Article - Refereed	en
dc.type.dcmitype	Text	en