Cardiologia (Rome, Italy)
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Cardiologia (Rome, Italy) · Jul 1999
Review Case ReportsThrombosis of a mitral valve prosthesis resulting from Staphylococcus epidermidis endocarditis.
A 70-year-old man with a Duromedics mitral valve prosthesis had two episodes of infective endocarditis caused by enterococcus (1994 and 1996). Colonoscopy revealed five polyps. Surgical resection was performed and 2 days later the patient had dyspnea and fever. ⋯ Acute thrombosis of the valve was diagnosed by echocardiography, and the patient died before transesophageal Doppler echocardiography was performed. Post mortem examination revealed mitral valve infective thrombosis. In patients with valvular prostheses, endocarditis is an added thromboembolic risk.