title: [Perforated mitral valve aneurysm as a rare course of bacterial endocarditis].
abstract: A 65 year old man with a history of mechanical aortic valve replacement acquired Enterococcus faecalis mediated infective endocarditis about 3 years later. Transesophageal echocardiography revealed formation of an aneurysm confined to the anterior mitral valve leaflet. The aortic valve revealed no signs of endocarditis by transesophageal ultrasound. With sudden perforation of the mitral valve aneurysm, subsequent hemodynamic deterioration and pulmonary oedema, the patient underwent emergency mitral and aortic valve replacement. The postoperative course was uneventful.
authors.affiliation: Universität Rostock Klinik und Poliklinik für Innere Medizin Abteilung Kardiologie Ernst-Heydemann-Strasse 6 18055 Rostock, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Körber
authors.forename: M
authors.initials: M
authors.lastname: Petzsch
authors.forename: K
authors.initials: K
authors.lastname: Pulya
authors.forename: B
authors.initials: B
authors.lastname: Ismer
authors.forename: J
authors.initials: J
authors.lastname: Placke
authors.forename: B
authors.initials: B
authors.lastname: Westphal
authors.forename: C A
authors.initials: CA
authors.lastname: Nienaber
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000601:surgery; D013293:Enterococcus faecalis; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation
vernacular_title: Perforiertes Mitralklappenaneurysma als seltene Verlaufsform einer bakteriellen Endokarditis.