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Ruptured Anterior Mitral Leaflet Aneurysm in Aortic Valve Infective Endocarditis—Evaluation by Three‐Dimensional Echocardiography
Author(s) -
Kharwar Rajiv Bharat,
Mohanty Abhisekh,
Sharma Akhil,
Narain Varun Shankar,
Sethi Rishi
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12449
Subject(s) - medicine , infective endocarditis , cardiology , mitral regurgitation , endocarditis , mitral valve , aneurysm , regurgitation (circulation) , complication , aortic valve , surgery
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.