title: Perforated aneurysm on the posterior leaflet of the mitral valve.
abstract: We present a case of a 71-year-old homeless diabetic man who was hospitalized due to bilateral cellulitis of the lower limbs. Because of severe calcific aortic stenosis, he had undergone valve replacement by a bioprosthesis 3 years earlier. Except from the two preadmission days, he reported no fever, malaise, or weight loss at any time after surgery. On examination, no specific signs or symptoms suggesting infective endocarditis were noted. After six blood cultures were taken, the patient was put on cloxacillin, clindamycin and gentamicin. All the six blood cultures were finally proven to be negative.
authors.forename: Aristides
authors.initials: A
authors.lastname: Androulakis
authors.forename: Constadina
authors.initials: C
authors.lastname: Aggeli
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Chrisos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kallikazaros
authors.forename: Pavlos
authors.initials: P
authors.lastname: Toutouzas
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology*