Afebrile Pannus-Induced Blood Culture–Negative Mechanical Valve Endocarditis Seiji Matsukuma, MD, Kiyoyuki Eishi, MD, Kazuyoshi Tanigawa, MD, Takashi.

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Presentation transcript:

Afebrile Pannus-Induced Blood Culture–Negative Mechanical Valve Endocarditis Seiji Matsukuma, MD, Kiyoyuki Eishi, MD, Kazuyoshi Tanigawa, MD, Takashi Miura, MD, Ichiro Matsumaru, MD, Kazuki Hisatomi, MD, Akira Tsuneto, MD The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e511-e513 (December 2016) DOI: 10.1016/j.athoracsur.2016.03.008 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transesophageal echocardiographic view of 11-mm mobile mass (arrow) attached inside the mechanical valve orifice. (LA = left atrium.) The Annals of Thoracic Surgery 2016 102, e511-e513DOI: (10.1016/j.athoracsur.2016.03.008) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Large vegetation (arrow) and small vegetations (arrowheads) attached to the interior of the mechanical valve orifice viewed through a right-sided left atriotomy. The Annals of Thoracic Surgery 2016 102, e511-e513DOI: (10.1016/j.athoracsur.2016.03.008) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Histologic view of specimen from the vegetation. (B) Histologic view of specimen from the pannus and sewing cuff of the prosthetic valve. (Hematoxylin and eosin; ×4) (LA = left atrium; LV = left ventricle; P = pannus; S = sewing cuff.) The Annals of Thoracic Surgery 2016 102, e511-e513DOI: (10.1016/j.athoracsur.2016.03.008) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions