MRCP UK EXAMINATIONS

CARDIOLOGY

MIXED AORTIC VALVE DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which term is known as the primary lesions of IE, consisting of fibrin, leukocytes, platelets, and microbes that stick to the valve surface or endocardium?
A
Petechiae
B
Embolism
C
Vegetations
D
None of the above
Explanation: 

Detailed explanation-1: -Infective endocarditis develops most commonly on the mitral valve, closely followed in descending order of frequency by the aortic valve, the combined mitral and aortic valve, the tricuspid valve, and, rarely, the pulmonic valve. Mechanical prosthetic and bioprosthetic valves exhibit equal rates of infection.

Detailed explanation-2: -Endocarditis infection occurs along the edges of the heart valves. The lesions, called vegetations, are masses composed of fibrin, platelets, and infecting organisms, held together by agglutinating antibodies produced by the bacteria.

Detailed explanation-3: -The vegetations are located in the atrial side of the tricuspid valve, in the way of the regurgitant jet.

Detailed explanation-4: -Two-dimensional echocardiography has the ability to detect vegetations and their associated complications in patients with endocarditis.

There is 1 question to complete.