Ten patients with the billowing mitral leaflet syndrome complicated by infective endocarditis are reported. Two patients had a non-ejection systolic click and 8 had both a non-ejection systolic click and a late systolic murmur. These auscultatory features were difficult to detect in 4 instances in that they were intermittent, soft, or brought out only with postural change. Seven patients were u...

In patients with cyanotic congenital heart disease (CCHD), the need for antibiotic prophylaxis for infective endocarditis is well known among dentists, but not many dentists are aware of the associated hemorrhagic tendencies in such patients. We report a case of post-extraction hemorrhage in a patient with Eisenmenger's syndrome and discuss the importance of more elaborate hematologic evaluatio...

Loeffler ’s endocarditis, also known as Loeffler ’s endomyocardial disease, was first described by Wilhelm Loeffler in a patient with progressive heart failure due to eosinophilic infiltration of the endomyocardium, which was found to be secondary to peripheral eosinophilia1. It appears to be a subset of hypereosinophilic syndrome (HES), in which the heart is predominantly involved, characteriz...

Guillain-Barre Syndrome, an acute flaccid paralysis known to be caused by recent Gastro-intestinal infections mainly campylobacter, and Respiratory infections mainly mycoplasma pneumoniae and influenza. One reported case of severe invasive pneumococcal disease in a 68 year old female, that presented with Austrian's triad of meningitis, pneumonia and endocarditis, and progressed to develop Guill...

multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. the case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. a brief review of surgical reconstruction and the existing literature are presented, inc...

Introduction: Ischemic strokes represent a classic complication of infective endocarditis (IE) and are most often related to the fragmentation valvular vegetation. In cases, they occur in Sylvian territory Staphylococcus aureus. MRI can demonstrate, addition AVCI image, cerebral microbleeds (CMBs) that very suggestive diagnosis. We present case patient who presented an ischemic stroke occurring...

The three Valsalva sinuses are hollow structures named after the corresponding aortic valve cusps. Valsalva sinus aneurysms are relatively rare (0.14-0.23%), congenital or acquired, the most common being congenital, most often affecting the right coronary sinus. They also may be secondary to bacterial endocarditis, syphilis, atherosclerosis, aortic dissection, Marfan syndrome or as a result of ...