A diagnosis of Infective Endocarditis was made ... Transthoracic echo was done which revealed large vegetation on both mitral valve leaflets with a size of 32 X 15 mm on the posterior mitral ...

Mitral-valve-repair surgery was completed in 56% of the patients, which compares favorably to the 15% rate shown in the STS national database for patients with early and/or active endocarditis.

He had a herniated L4–L5 intervertebral disk and hypertensive heart disease with a dilated left ventricle, reduced left ventricular function, and mild-to-moderate mitral regurgitation.