Mitral valve aneurysm: A serious complication of aortic valve endocarditis.

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  • Additional Information
    • Source:
      Publisher: Lisbon Country of Publication: Portugal NLM ID: 8710716 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2174-2030 (Electronic) Linking ISSN: 08702551 NLM ISO Abbreviation: Rev Port Cardiol Subsets: MEDLINE
    • Publication Information:
      Publication: 2011- : Lisbon : Elsevier
      Original Publication: Lisboa : Sociedade Portuguesa De Cardiologia
    • Subject Terms:
      Aortic Valve* ; Mitral Valve*; Aneurysm, Ruptured/*etiology ; Endocarditis, Bacterial/*etiology ; Heart Aneurysm/*etiology ; Heart Valve Diseases/*complications; Aged ; Echocardiography, Transesophageal ; Humans ; Male
    • Abstract:
      Mitral valve aneurysms are rare and occur most commonly in association with aortic valve endocarditis. Transesophageal echocardiography is the most sensitive imaging modality for the diagnosis of this entity and its potential complications, such as leaflet rupture and mitral regurgitation, which mandate prompt surgical intervention. We present the case of a 70-year-old male patient with aortic valve endocarditis complicated with a ruptured aneurysm of the anterior mitral valve leaflet and associated severe mitral regurgitation, diagnosed by transesophageal echocardiography, with impressive images. We hypothesized that the aneurysm developed through direct extension of infection from the aortic valve or from a prolapsing aortic vegetation, with abscess formation and subsequent rupture and drainage. This case highlights the importance of appropriate imaging for early detection and timely surgical intervention (repair or replacement) to prevent fatal outcomes.
      (Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)
    • Contributed Indexing:
      Keywords: Aneurisma; Aneurysm; Aortic valve; Echocardiography; Ecocardiografia; Endocardite; Endocarditis; Mitral valve; Válvula aórtica; Válvula mitral
    • Publication Date:
      Date Created: 20161022 Date Completed: 20180319 Latest Revision: 20181202
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.repc.2016.02.006
    • Accession Number:
      27765478