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Figure 1. A 45-year-old woman with end-stage renal disease was seen for acute bacterial endocarditis. Echocardiographic study revealed marked mitral regurgitation with a large vegetation on the atrial side of the anterior leaflet of the mitral valve. At coronary angiography, a 30 percent stenosis of the proximal left anterior descending coronary artery and a 70 percent stenosis of the midportion of the right coronary artery were evident. Left ventriculography revealed normal systolic function with grade III/IV mitral regurgitation. The hemodynamic findings were of particular interest. A pulmonary-artery tracing (Panel A) revealed an elevated pulmonary-artery pressure, with a peak early . . . [Full Text of this Article] |
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