Value of repeated multiplane transesophageal echocardiography in a patient with mitral valve ring abscess and left ventricular pseudoaneurysm.
Mitral valve ring abscess and ventricular pseudoaneurysm are rare complications of infective endocarditis. We describe the case of a 58-year-old man who was admitted to our hospital with sepsis caused by Staphylococcus aureus and in whom tricuspid and mitral valve endocarditis developed within 2 weeks. Despite widespread antibiotic therapy, the endocarditis proceeded to form a mitral valve ring abscess and a left ventricular pseudoaneurysm. The diagnosis was set by repeated multiplane transesophageal echocardiography and confirmed by heart surgery.
Wisbar
A
A
Medizinische Klinik, Akademisches Lehrkrankenhaus der Universität Tübingen, Germany.
Keim
M W
MW
Momper
R
R
Eschenbruch
E M
EM
Braun
B
B
Hust
M H
MH
D000038:Abscess / Q000150:complications / Q000000981:diagnostic imaging*; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology; D017548:Echocardiography, Transesophageal / Q000379:methods; D006322:Heart Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D012016:Reference Values; D013211:Staphylococcus aureus