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An echocardiographic abnormality in an HIV patient with coronary disease
  1. Jimmy Kerrigan1,
  2. Majesh Makan2
  1. 1 Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA
  2. 2 Division of Cardiovascular Diseases, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA
  1. Correspondence to Dr Majesh Makan, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8086, St. Louis, MO 63110-1093, USA; mmakan{at}dom.wustl.edu

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Clinical introduction

A patient with a history of HIV and known coronary artery disease presented with fevers. Chest x-ray showed bilateral infiltrates, and a trans-thoracic echocardiogram (TTE) obtained on the first hospital day showed an ejection fraction of 43% with hypokinesis of the basal and mid-anterior segments. The patient's course was complicated by continued fevers but blood cultures remained negative; upon rereview of the initial TTE, a highly mobile echogenic linear mass was appreciated on the left ventricular outflow tract side of the aortic valve (see online supplementary video …

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