title: Large mitral valve aneurysm with infective endocarditis.
abstract: A 63-year-old man with infective endocarditis (IE) was admitted to our hospital after experiencing acute heart failure. A two-dimensional transthoracic and transesophageal echocardiography revealed vegetation attached to both aortic and mitral valves, a very large mitral valve aneurysm, a severe mitral regurgitation jet issuing from a mitral valve perforation and severe aortic regurgitation. Three days after admission, both the aortic and mitral valves were replaced. The patient received antibiotic therapy for 6 weeks postoperatively and recovered with no neurological complications. Although the patient was discharged without recurrence of IE, his transthoracic and transesophageal echocardiography showed periprosthetic mitral regurgitation, requiring him to receive close follow-up monitoring. This case report exemplifies the rather unusual, but important, complications of aortic valve IE, and suggests some suitable forms of intervention.
authors: Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
authors: Shoko
authors: S
authors: Uematsu
authors: Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.
authors: Kyomi
authors: K
authors: Ashihara
authors: Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
authors: Hideyuki
authors: H
authors: Tomioka
authors: Department of Cardiology, Saiseikai Kawaguchi General Hospital, Kawaguchi, Japan.
authors: Atsushi
authors: A
authors: Takagi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications* / Q000188:drug therapy; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents