A rare case of native mitral valve infective endocarditis presenting with complete heart block and intermittent atrial flutter. Issue 2 (4th March 2021)

• Record Type: Journal Article
• Authors: Thomas, Pravin; Ansari, Shahryar; Elkhouly, Ahmed a; Wallach, Sara
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 11:Issue 2(2021)
• Page Start: 238
• Page End: 241
• Publication Date: 2021-03-04
• Subjects: Mitral Valve infective endocarditis -- heart block -- junctional rhythm; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2021.1877395
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: Mitral valve infective endocarditis, without aortic involvement, is a rare cause of complete heart block. It is thought that infections placed close to the conductive system of the heart may drive a conduction block. We found six cases in the literature, via searching PubMed, of mitral valve infective endocarditis with complete heart block and no aortic involvement. We report a case of complete heart block with a junctional escape rhythm in a patient with a Staphylococcus Aureus vegetation on a native mitral valve only.