In a patient with bacterial endocarditis, which of the follo
Dr. Tpbhat Bhat
In a patient with bacterial endocarditis, which of the following echocardiographic lesions is most likely to lead to embolization?

A. 5mm mitral valve vegetation

B. 5mm tricuspid valve vegetation

C. 11mm Aortic valve vegetation

D. 11mm Mitral valve vegetation

E. 11mm tricuspid valve vegetation

Dr. T●●●●t B●●t
Dr. T●●●●t B●●t Internal Medicine
Dear friends answer is D,while any valvular vegetation can embolize,vegetation located on the mitral valve and vegetation greater than 10mm are at greatest risk of embolizing.Of the choice, Option C,D ,E are large enough to increase the risk of embolization. However ,Option D demonstrates the risk of both size and location.Hematogeneously seeded infection from an embolised vegitation may involve any organ ,but particularly affects those organs with highest blood flow.Tricuspid lesions are seen in pulmonary septic emboli,common in injection drug users.Mitral and aortic lesions can lead to emboli infections in skin ,spleen,kidney ,meninges and skeletal system. A dread neurological complications is mycotic aneurysm ,focal dilation of arteries at points in arterial wall that have been weakened by infection in vasorum or septic emboli,leading to hemorrhage........................................................ Read more
Dec 4, 2018Like