title: Rare Mycotic Aneurysm of the Mitral Valve without Aortic Valve Involvement.
abstract: Mycotic aneurysms can be a rare, but serious complication of infectious endocarditis. We report the case of a 20-year-old woman who presented with fever and malaise from streptococcal bacteremia and found to have vegetation on the anterior leaflet of the mitral valve. On follow-up visit, the patient was noted to have a mycotic aneurysm of the anterior mitral valve without aortic involvement. Her clinical course was complicated by mitral valve chordal rupture, severe mitral regurgitation, and dyspnea from severe mitral regurgitation for which she underwent successful surgical repair of the mitral valve.
authors.affiliation: The Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
authors.forename: Parham
authors.initials: P
authors.lastname: Zarrini
authors.affiliation: The Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
authors.forename: Omeed
authors.initials: O
authors.lastname: Elboudwarej
authors.affiliation: The Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
authors.forename: Daniel
authors.initials: D
authors.lastname: Luthringer
authors.affiliation: The Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
authors.forename: Robert
authors.initials: R
authors.lastname: Siegel
mesh_terms: D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006322:Heart Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult
keywords: infective endocarditis; mitral regurgitation; mitral valve aneurysm; transesophageal echocardiography; transthoracic echocardiography