48 year old man with persistent Staph aureus bacteraemia…
A TOE was performed to better define the lesion.
TOE MO 0′ 4C – the large mass is seen adjacent to the inferior lateral wall. The mitral valve appears normal.
TOE MO 0′ LV – By rotating the TOE probe towards the left, it is apparent that the mass is not within the ventricular wall. The mass still appears of mixed echogenecity.
TOE MO 2C
TOE MO 4C CFD – There is blood flow through the mass lesion.
Have you have been looking closely at the valves for vegetations? Were you looking for fistulae, regurgitation?
Or none of the above?
This patient actually had a mycotic aneurysm in the antero-lateral wall of the LV. This was resected surgically. Not convinced? Have a look at the loops again!Tags: bacteraemia endocarditis mycotic vegetations