Abstract :
A 24-year-old male presented with acute heart failure to the Department of Medicine at Royal Hospital, Muscat, Oman, in October 2011. He had undergone a mechanical mitral valve (MV) replacement in 2005 after a mitral valve prolapse and severe mitral regurgitation. He was diagnosed with systemic lupus erythematosus in 2006, end-stage renal disease on haemodialysis in 2008 and prosthetic valve endocarditis in February 2011.
