Aneurysm of the mitral valve: a rare complication of aortic valve endocarditis

Ann Thorac Surg. 2004 Oct;78(4):e65-6. doi: 10.1016/j.athoracsur.2003.12.073.

Abstract

A 45-year-old man presented to our hospital with severe dyspnea 4 months after antibiotic treatment for aortic valve endocarditis. Transesophageal echocardiography revealed severe aortic regurgitation and an aneurysm of the anterior leaflet of the mitral valve. In addition to aortic valve replacement, we excised the aneurysm and repaired the anterior leaflet of the mitral valve. Clinical suspicion, appropriate preoperative imaging, and timely surgical intervention are essential to recognize and treat this rare complication of bacterial endocarditis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Aortic Valve / surgery
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery
  • Dyspnea / etiology
  • Early Diagnosis
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications*
  • Endocarditis, Bacterial / drug therapy
  • Heart Aneurysm / diagnostic imaging
  • Heart Aneurysm / etiology
  • Heart Aneurysm / surgery*
  • Heart Valve Prosthesis Implantation
  • Humans
  • Male
  • Middle Aged
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / pathology
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / surgery
  • Recurrence
  • Tricuspid Valve Insufficiency / complications

Substances

  • Anti-Bacterial Agents