Large Mural Vegetation Attached to the Left Ventricular Outflow Tract: A Case Report


  • Atila Bitigen
  • Fatih Bayrak
  • Kursat Tigen
  • Bulent Mutlu



We describe an unusual case of staphylococcal endocarditis with vegetation attached to the left ventricular outflow endocardium in a patient with chronic severe aortic regurgitation that was diagnosed by transthoracic echocardiography. There was no involvement of aortic valve endocardium confirmed by transthoracic echocardiography, transesophageal echocardiography, and macroscopically in the operation. This report confirms that chronic endocardial trauma may provide a fertile nidus for the development of bacterial vegetation.


Buchbinder NA, Roberts WC. 1972. Active infective endocarditis confined to mural endocardium. Arch Pathol 93:435-40.nHerzog CA, Carson P, Michaud L, et al. 1988. Two-dimensional echocardiographic imaging of left ventricular mural vegetations. Am Heart J 115:684-6.nLeJemtel TH, Factor SM, Koenigsberg M, et al. 1979. Mural vegetations at the site of endocardial trauma in infective endocarditis complicating idiopathic hypertrophic subaortic stenosis. Am J Cardiol 44:569-74.nLeung WH, Lau CP. 1989. Left ventricular mural endocarditis. Am Heart J 118:1352-3.nMullen P, Jude C, Borkon M, et al. 1986. Aspergillus mural endocarditis: clinical and echocardiographic diagnosis. Chest 90:451-2.nShirani J, Keffler K, Gerszten E, et al. 1995. Primary left ventricular mural endocarditis diagnosed by transesophageal echocardiography. J Am Soc Echocardiogr 8:554-6.nVilacosta I, San Roman JA, Roca V. 1990. Eustachian valve endocarditis. Br Heart J. 64:340-1.n



How to Cite

Bitigen, A., Bayrak, F., Tigen, K., & Mutlu, B. (2006). Large Mural Vegetation Attached to the Left Ventricular Outflow Tract: A Case Report. The Heart Surgery Forum, 10(1), E1-E2.