title: Incremental value of three-dimensional transthoracic echocardiography in the assessment of ruptured aneurysm of anterior mitral leaflet.
abstract: The mitral valve aneurysm is a rare complication of infective endocarditis involving mitral or aortic valve. The perforation of the mitral valve aneurysm can lead to significant mitral regurgitation (MR) or thromboembolism, which can cause sudden hemodynamic deterioration. We describe here a case of healed infective endocarditis of the aortic valve with ruptured mitral valve aneurysm that led to severe MR. The aneurysm of the anterior mitral leaflet was diagnosed by two-dimensional transthoracic echocardiography. In this case, three-dimensional transthoracic echocardiography demonstrated the detailed morphology of mitral valve aneurysm which resulted in successful surgical repair of the aneurysm.
authors.affiliation: Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
authors.forename: Sudarshan Kumar
authors.initials: SK
authors.lastname: Vijay
authors.forename: Bhuwan Chandra
authors.initials: BC
authors.lastname: Tiwari
authors.forename: Mukul
authors.initials: M
authors.lastname: Misra
authors.forename: Sudhanshu Kumar
authors.initials: SK
authors.lastname: Dwivedi
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome
keywords: infective endocarditis; mitral valve aneurysm; three-dimensional echocardiography