Diagnosis and Management of Complicated Left Atrial Mural Endocarditis

Grigorov, V.; Manga, Pravin; Patel, Nalin

doi:10.1111/j.1540-8175.1999.tb00109.x

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…All-particle energy spectrum of cosmic rays, the flux is multiplied by E 3 . Results from direct measurements by Grigorov et al (Grigorov et al, 1999), JACEE (Asakimori et al, 1995), RUNJOB (Derbina et al, 2005), and SOKOL (Ivanenko et al, 1993) as well as from the air shower experiments AGASA (Takeda et al, 2003), Akeno 1 km 2 (Nagano et al, 1984a), and 20 km 2 (Nagano et al, 1984b), AUGER (Sommers et al, 2005), BASJE-MAS (Ogio et al, 2004), BLANCA (Fowler et al, 2001), CASA-MIA (Glasmacher et al, 1999b), DICE (Swordy and Kieda, 2000), EAS-TOP (Aglietta et al, 1999), Fly's Eye (Corbato et al, 1994), GRAPES-3 interpreted with two hadronic interaction models (Hayashi et al, 2005), Haverah Park (Lawrence et al, 1991) and (Ave et al, 2003), HEGRA (Arqueros et al, 2000), HiRes-MIA (Abu-Zayyad et al, 2001a), HiRes-I (Abbasi et al, 2004), HiRes-II (Abbasi et al, 2005), KASCADE electrons and muons interpreted with two hadronic interaction models , hadrons , and a neural network analysis combining different shower components (Antoni et al, 2002), KASCADE-Grande (preliminary) (Haungs et al, 2006b), MSU (Fomin et al, 1991), Mt. Norikura (Ito et al, 1997), SUGAR (Anchordoqui and Goldberg, 2004), Tibet ASγ (Amenomori et al, 2000a) and ASγ-III (Amenomori et al, 2003), Tunka-25 (Chernov et al, 2006), and Yakutsk (Glushkov et al, 2003).…”

Section: All-particle Spectrummentioning

confidence: 99%

Cosmic-ray composition and its relation to shock acceleration by supernova remnants

Hörandel

2008

Advances in Space Research

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An overview is given on the present status of the understanding of the origin of galactic cosmic rays. Recent measurements of charged cosmic rays and photons are reviewed. Their impact on the contemporary knowledge about the sources and acceleration mechanisms of cosmic rays and their propagation through the Galaxy is discussed. Possible reasons for the knee in the energy spectrum and scenarios for the end of the galactic cosmic-ray component are described.

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Section: All-particle Spectrummentioning

confidence: 99%

Cosmic-ray composition and its relation to shock acceleration by supernova remnants

Hörandel

2008

Advances in Space Research

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“…Left atrial mural endocarditis is a condition rarely diagnosed 1–3 . Several pathogenic mechanisms are postulated in the development of mural vegetations.…”

Section: Discussionmentioning

confidence: 99%

“…Left atrial mural endocarditis is a condition rarely diagnosed. [1][2][3] Several pathogenic mechanisms are postulated in the development of mural vegetations. The most feasible mechanism is related to the impact of a regurgitant jet that causes endothelial damage and retrograde microorganisms dissemination.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Secondary to Left Atrial Mural Endocarditis

Ruiz¹,

Román²,

Alonso³

et al. 2005

Echocardiography

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mural endocarditis, myocardial infarction, embolismInfective endocarditis is a devastating disease with a grim prognosis, in spite of diagnostic and therapeutic advances. It may occur on any endothelial surface; although valves are the most common site of infection, vegetations may occur in other intracardiac locations (ventricular endocardium, atrial endocardium, eustachian valve, mural thrombi and intimal surface of great vessels).Patients with left atrial mural vegetation may define a subpopulation at increased risk of systemic embolization. We present the case of a young patient with a mural vegetation presenting with an acute myocardial infarction due to a coronary embolism. Case ReportA 28-year-old female intravenous drug abuser, infected with human immunodeficiency virus (B3) and with hepatitis C virus, had mitral and tricuspid infective endocarditis, caused by Staphylococcus aureus and Enterococcus faecalis, at 22 years of age. At discharge, severe mitral regurgitation was present. She was admitted to our hospital with 1-day fever, dyspnea, and typical chest pain. Physical examination revealed discomfort, dehydratation, a blood pressure of 65/30 mmHg, heart rate of 115 bpm and a 4/6 apical pansystolic murmur. The CPK level on admission was 1,418 IU/l (CPK-MB 195 IU/l), creatinine 3.3 mg/dl, white blood cell count 15,300/ml and platelets 86,000/ml. She developed coma and severe hypotension and required mechanical ventilation and inotropic support. The electrocardiogram showed sinus tachycardia and a ST-segment elevation in leads V 1 to V 5 , I and aVL. Chest x-ray showed mild cardiomegaly without pulmonary congestion.A transthoracic and transesophageal study was undertaken, demonstrating apical and anterior akinesia, and severe mitral Figure 1. Transesophageal echocardiography: vegetation (arrows), left atrial appendage (OI), aorta (AO), left superior pulmonary vein (VPSI) and right ventricle outflow tract (TSVD).

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Treatment of Native Valve Endocarditis: General Principles and Therapy for Specific Organisms

Vinh

Embil

2006

Endocarditis

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Diagnosis and Management of Complicated Left Atrial Mural Endocarditis

Abstract: Mural endocarditis that involves the left atrial wall is rare. We report on the transesophageal findings in a patient with left atrial mural endocarditis and discuss its recognition, complications, and treatment.

Cited by 6 publications

References 2 publications

Cosmic-ray composition and its relation to shock acceleration by supernova remnants

Cosmic-ray composition and its relation to shock acceleration by supernova remnants

Acute Myocardial Infarction Secondary to Left Atrial Mural Endocarditis

Treatment of Native Valve Endocarditis: General Principles and Therapy for Specific Organisms

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