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Jeroen Walpot, Bharati Shivalkar, W. Hans Pasteuning and Raymond Hokken Staphylococcus aureus Infective Endocarditis Mimicking a Hydatid Cyst Echocardiography 27

Article first published online: 7 JUN 2010 | DOI: 10.1111/j.1540-8175.2010.01160.x

We report an atypical echocardiografi c presentation of Staphylococcus aureus infective endocarditis of the mitral valve in an octogenarian female. Echocardiography revealed perforation of the anterior mitral valve leafl et (AMVL), with a large cystic mass seemingly attached to the AMVL and surrounded by a thin membranous structure. These images were strongly reminiscent of a hydatid cyst. The signifi cant comorbidity of the patient did not justify an urgent surgical approach, and the patient subsequently expired of cardiogenic and septic shock. This atypical presentation of infective endocarditis prompted us to discuss a brief review of intracardiac cystic masses.

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