Echocardiographic manifestations of valvular vegetations

James C. Dillon, Harvey Feigenbaum, Lee L. Konecke, Richard H. Davis, Sonia Chang

Research output: Contribution to journalArticlepeer-review

189 Scopus citations


Eight patients with autopsy or surgically proved valvular vegetations were examined using echocardiography. Five of these patients had lesions on the aortic valve and three had lesions on the mitral valve. The echocardiographic finding in these patients was a non-uniform thickening of valve leaflets which exhibited unrestricted motion. Often the abnormal echoes which produced the thickened valve had a shaggy appearance. In all eight patients the location of the echocardiographic abnormality correlated with the anatomic findings at surgery or autopsy. In one patient the diagnosis of bacterial endocarditis was first suspected following the echocardiographic examination and only subsequently was a heart murmur heard. These findings indicate that echocardiography may play a useful role in elucidating the pathological anatomy of the bacterial endocarditis with vegetation; however, the length of time from the onset of clinical illness to echocardiographic diagnosis remains unknown.

Original languageEnglish (US)
Pages (from-to)698-704
Number of pages7
JournalAmerican Heart Journal
Issue number5
StatePublished - Nov 1973

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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