Resumo

ALVARADO SANCHEZ, Eduardo; RODRIGUEZ ISRAEL, Melissa; ARROYO SOLIS, Daniel  e  ARRIETA GONZALEZ, Alejandra. Endocarditis Infecciosa Mural Apical del Ventrículo Izquierdo: Presentación de caso clínico y revisión bibliográfica. Rev. costarric. cardiol [online]. 2023, vol.25, n.2, pp.11-15. ISSN 1409-4142.

Mural endocarditis is an uncommon form of intracardiac infection affecting the non valvular endocardium that can present with complications similar to valvular infective endocarditis. Echocardiography is recommended to confirm the diagnosis when there is a high index of suspicion. Regarding treatment, there is limited evidence about therapeutic strategies in mural endocarditis, however in most reported cases it is recommended to initiate targeted antibiotic therapy associated with early surgical intervention. The following is a clinical case of a 74-year-old male patient with systemic embolic phenomena, in whom a transesophageal echocardiogram documented mural endocarditis in the apex of the left ventricle associated with Staphylococcus aureus bacteremia. This case highlights the importance of a detailed echocardiographic assessment of the cardiac valves and chambers when infective endocarditis is suspected.

Palavras-chave : Mural infective endocarditis; transesophageal echocardiogram; Staphylococcus aureus..

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