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Article
A rare case of paradoxical left sided endocarditis through patent foramen ovale.
Marshall Journal of Medicine
  • George M. Yousef, Marshall University
  • Paul I Okhumale, marshall university
  • Haytham Aljoudi
  • Silvestre Cansino, Marshall University
Author Credentials
George M. Yousef, MD, Paul I. Okhumale, MD, Haytham Aljoudi, MD, Silvestre Cansino, MD
Keywords
  • Endocarditis,
  • Paradoxical,
  • Patent Foramen Ovale
Abstract

A 36 -year old woman IV drug abuser admitted with Right-Sided Infective Endocarditis (RSIE) as demonstrated by transthoracic echocardiogram. Patient was admitted 8 weeks later with recurrence of symptoms, moreover signs of systemic embolization were noted. Transthoracic and Transesophageal Echocardiograms revealed tricuspid valve vegetation, severe tricuspid regurgitation, left atrial mass, Patent Foramen Ovale (PFO), severely dilated right atrium and prominent Chiari's network. Systemic embolization included brain and Left iliacus abscesses. Patent Foramen ovale is the proposed mechanism leading to extensive systemic embolization in the present case.

Citation Information
George M. Yousef, Paul I Okhumale, Haytham Aljoudi and Silvestre Cansino. "A rare case of paradoxical left sided endocarditis through patent foramen ovale." p. 35
Available at: http://works.bepress.com/george_yousef/3/