Valvulopathy - Mitral Vegetations
Caption
62 y/o M no PMH visiting from the Caribbean presents with 3 days of acute onset shortness of breath associated with severe exertional dyspnea, orthopnea and cough productive of whitish sputum without fevers or chest pain. POCUS was performed to evaluate undifferentiated shortness of breath. Subcostal view revealed vegetations on both mitral valve leaflets with severe mitral regurgitation, biatrial enlargement and global hypokinesis. Acute onset of severe heart failure requires emergent surgical intervention including mitral valve repair vs replacement. In our patient, POCUS lead to emergent transfer for CT surgery. Dr’s Karen Benabou, Eden Kim, and Eric Schnitzer - Kings County Emergency Medicine