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Medicine General 1e0fa0e9

Embolization from mitral valve vegetation is unusual to which of the following organs?

A
Lung
B
Brain
C
Liver
D
Spleen
High-Yield Explanation
Mitral valve vegetations usually do not embolise to lungs. Whereas in Tricuspid valve endocarditis a 'patchy nature' of recurrent lung pneumonitis caused by embolism of vegetation in the lungs is seen. Mitral valve vegetation would not enter the lung as it would cause a 'backward flow'. Hematogenously seeded focal infection is most often clinically evident in the skin, spleen, kidneys, skeletal system, and meninges. Ref: Textbook of Medicine By Robe.l Souhami, John Moxham, Page 575 ; Harrison's Internal Medicine, 18th Edition, Page 1054-55

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