Aortic regurgitation and unusual diastolic mitral regurgitation.
In patients with infective endocarditis affecting the aortic valve, a secondary involvement of subaortic structures may occur in a mechanism of direct extension or as a result of an infected jet of aortic regurgitation striking the ventricular surfaces of the mitral-aortic intervalvular fibrosa and the anterior mitral leaflet (AML). We present a 29-year-old male with infective endocarditis of the bicuspid aortic valve, who developed a secondary infection of the subaortic tissues complicated by a perforation of the AML. Echocardiographic examination revealed not only systolic, but also diastolic mitral regurgitation.
Konka
Marek
M
Department of Congenital Heart Disease, Institute of Cardiology, Alpejska 42, Warsaw 04-628, Poland. mkonka@ikard.pl
Kusmierczyk-Droszcz
Beata
B
Wozniak
Olgierd
O
Hoffman
Piotr
P
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D003971:Diastole; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D013599:Systole