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Ruptured Aneurysm of Anterior Mitral Leaflet in Aortic Valve Infective Endocarditis
Author(s) -
Zegrí Isabel,
Moñivas Vanessa,
Mingo Susana,
GarciaMontero Carlos,
Cavero Miguel A.
Publication year - 2015
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.12831
Subject(s) - medicine , infective endocarditis , cardiology , regurgitation (circulation) , endocarditis , mitral regurgitation , perforation , mitral valve , aneurysm , aortic valve , leaflet (botany) , surgery , radiology , paleontology , materials science , punching , biology , metallurgy
Mini‐Abstract We report the case of a 71‐year‐old man admitted with acute heart failure and suspicion of infective endocarditis (IE). Three‐dimensional transesophageal echocardiography (3DTEE) showed ruptured aneurysm of anterior mitral leaflet (AAML) in scallop A2 with severe mitral regurgitation and perforation of right and noncoronary aortic cusps with severe aortic regurgitation. TEE is more sensitive than transthoracic echocardiography for the diagnosis of AAML and 3DTEE provides further morphological information as well about the relationship with adjacent structures. This information has important implications for medical and surgical purposes.