Abstract
Case synopsis: A 47-year-old man presented with a 3-day history of dyspnoea, productive cough, and a low-grade fever. A chest X-ray revealed an opacity in the right middle lobe and he was treated empirically for community-acquired pneumonia in the intensive care unit. The patient deteriorated quickly requiring intubation. At the time of intubation, he was noted to have pulmonary oedema and a pan–systolic murmur. Owing to clinical suspicion, diagnostic echocardiography was performed that showed an eccentric postero-lateral mitral regurgitation (MR) jet. Other echocardiographic findings included moderate aortic regurgitation from a bicuspid aortic valve. Blood cultures were negative and coronary angiography revealed no significant coronary artery disease. The patient proceeded to mechanical aortic valve and mitral valve replacements after stabilisation with an intra-aortic balloon pump.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
