Aneurysm of the mitral valve: a rare complication of aortic valve endocarditis.
A 45-year-old man presented to our hospital with severe dyspnea 4 months after antibiotic treatment for aortic valve endocarditis. Transesophageal echocardiography revealed severe aortic regurgitation and an aneurysm of the anterior leaflet of the mitral valve. In addition to aortic valve replacement, we excised the aneurysm and repaired the anterior leaflet of the mitral valve. Clinical suspicion, appropriate preoperative imaging, and timely surgical intervention are essential to recognize and treat this rare complication of bacterial endocarditis.
Cardiothoracic Surgery, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia, USA. mhalkos@emory.edu
Michael E
ME
Halkos
John D
JD
Symbas
Joel M
JM
Felner
Panagiotis N
PN
Symbas
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D004417:Dyspnea / Q000209:etiology; D042241:Early Diagnosis; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000188:drug therapy; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D014262:Tricuspid Valve Insufficiency / Q000150:complications
D000900:Anti-Bacterial Agents