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Aneurysm of the anterior leaflet of the mitral valve secondary to aortic valve endocarditis

2000; Elsevier BV; Volume: 13; Issue: 11 Linguagem: Inglês

10.1067/mje.2000.105892

1097-6795

Pedro Marcos‐Alberca, Manuel J. Del Rey, José María Serrano Sanz, Inmaculada Fernández‐Rozas, Felipe Navarro, Angel Contreras, Rosa Rábago,

Cardiac Structural Anomalies and Repair

Abstract Aneurysm of the anterior mitral leaflet is a rare complication of infective aortic valve endocarditis, the natural evolution of which is generally its rupture, with subsequent acute and severe mitral regurgitation. Its presence cannot be recognized with transthoracic echocardiography and even in surgery. We describe a 78-year-old man with aortic valve endocarditis, in whom transesophageal echocardiography was essential for the diagnosis of this complication, its therapeutic management, and the postoperative follow-up after simple valve repair. In addition, the most appropriate surgical approach is discussed. (J Am Soc Echocardiogr 2000;13:1050-2.)