title: Ruptured anterior mitral leaflet aneurysm in aortic valve infective endocarditis--evaluation by three-dimensional echocardiography.
abstract: Ruptured aneurysm of the anterior mitral leaflet is a rare but a devastating complication secondary to aortic valve infective endocarditis. We report a case of 30-year-old male with native aortic valve endocarditis who was referred to us for evaluation of worsening of heart failure after an initial period of responsiveness to antibiotics. Detailed evaluation with two-dimensional and three-dimensional transthoracic echocardiography revealed ruptured anterior mitral leaflet aneurysm with severe eccentric mitral regurgitation along with a large vegetation on the aortic valve. The patient underwent successful surgical closure of the defect along with aortic valve replacement.
authors.forename: Rajiv Bharat
authors.initials: RB
authors.lastname: Kharwar
authors.forename: Abhisekh
authors.initials: A
authors.lastname: Mohanty
authors.forename: Akhil
authors.initials: A
authors.lastname: Sharma
authors.forename: Varun Shankar
authors.initials: VS
authors.lastname: Narain
authors.forename: Rishi
authors.initials: R
authors.lastname: Sethi
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013290:Streptococcal Infections / Q000150:complications / Q000000981:diagnostic imaging; D016896:Treatment Outcome