Reliability and clinical relevance of detection of vegetations by echocardiography in bacterial endocarditis.
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Mitral obstruction due to a large vegetation of acute Streptococcus viridans endocarditis occurred in a 47 year old man. Serial echocardiography documented the rapid growth of the vegetation and its haemodynamic effects. Emergency mitral valve replacement was performed too late to reverse the course of fatal septic shock.
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