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Mitral valve endocardiosis?

Sonopath Forum

Sonopath Forum

Mitral valve endocardiosis?

Hello,

Sparky is a 14 years old M/N rescue that was diagnosed with CRF, PLN. Abdominal US find an incidental Aortic thrombus. My collegue is considering dental due to severe periodontal disease. I did image the heart despite no murmur or arrhytmia on PE.

My questions:

– is the apperance of the anterior leaflet of the mitral valve consistent with endocardiosis?

-is it possible to have so advanced mitral valve disease  with enlarged LA and with no obvious regurg ( not able to reproduce on echo and also confirmed no murmur…. maybe a grade 1-2)

Hello,

Sparky is a 14 years old M/N rescue that was diagnosed with CRF, PLN. Abdominal US find an incidental Aortic thrombus. My collegue is considering dental due to severe periodontal disease. I did image the heart despite no murmur or arrhytmia on PE.

My questions:

– is the apperance of the anterior leaflet of the mitral valve consistent with endocardiosis?

-is it possible to have so advanced mitral valve disease  with enlarged LA and with no obvious regurg ( not able to reproduce on echo and also confirmed no murmur…. maybe a grade 1-2)

-Is the aortic thrombus explained by PLN or heart condition?

Thank you so much 🙂

 

Comments

vetecho
November 14, 2015 at 12:46 am -

In my first question I meant

In my first question I meant endocarditis.

EL
November 15, 2015 at 12:31 am -

Endocarditis sure fits…

Endocarditis sure fits… Virchow loves endothelial lesions… any other indications of sepsis??? white count, hypoglycemia?? I’m thinking a baytril clindamycin plavix trial here and of course wait on the teeth a bit. Im wondering if the CRF is secondary to sepsis or endocarditis. Hypertension??? hasn’t been proven or published but I have seen thrombosis with hypertension and no other explanation a few times. AT3 loss from a PLN would create a hypercoagulable state but usually th ealbumin is dropping under 2.0 or so when that occurs but not written in stone.

Cool case

vetecho
November 15, 2015 at 1:37 pm -

Thank you EL. Make
Thank you EL. Make sense
Initial presentation was rear end ataxia, hypoglicemia- low normal, hypertension. What is curious for me is that there is no heart murmur despite an enlarged LA and major changes in the mitral valve. Is that “normal” with endocarditis?

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