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“Holes‐in‐one”: A case of concurrent windsock mitral valve, root abscess, and Gerbode defect
Author(s) -
Wang Tom Kai Ming,
Elgharably Haytham,
Cremer Paul
Publication year - 2020
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.14703
Subject(s) - medicine , perforation , infective endocarditis , transesophageal echocardiogram , cardiology , mitral valve , endocarditis , mitral regurgitation , abscess , etiology , radiology , pathological , transthoracic echocardiogram , aortic valve , surgery , punching , materials science , metallurgy
Infective endocarditis is a heterogeneous disease with a wide array of pathological lesions. We present a 55‐year‐old man with severe mitral and aortic regurgitation on transthoracic echocardiography. Transesophageal echocardiogram characterized the mechanisms detecting a windsock mitral valve perforation, aortic root abscess, and Gerbode ventricular septal defect, with the deep transgastric view showing all three pathologies concurrently. The etiologies of mitral valve perforation and Gerbode defects are discussed. Transesophageal echocardiography remains a critical imaging modality to diagnose and evaluate the extent of infective endocarditis with superior sensitivity to transthoracic echocardiography.