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Spontaneous healing of a ruptured mycotic aneurysm of the posterior mitral leaflet: Unexpected resolution of a severe mitral regurgitation
Author(s) -
Ruisanchez Villar Cristina,
Gonzalez Lizarbe Sofia,
Lerena Saenz Piedad,
Gil Ongay Aritz,
Borderias Villarroel Teresa,
Teira Calderon Andrea,
Cabrera Rubio Indira,
Cuesta Cosgaya Jose Maria
Publication year - 2021
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.14999
Subject(s) - infective endocarditis , mitral regurgitation , medicine , aneurysm , mitral valve , endocarditis , cardiology , mycotic aneurysm , complication , mitral valve repair , regurgitation (circulation) , radiology , surgery
Mycotic mitral valve aneurysm is an uncommon complication that rarely appears in isolated mitral valve endocarditis. The weakened aneurysmal wall may rupture, causing severe mitral regurgitation. In this situation surgery is essential. We present a case of a rare complicated mycotic posterior mitral aneurysm. After completing the antibiotic course for Streptococcus agalactiae infective endocarditis, an unexpected healing process within the aneurysm led to the virtual disappearance of the mitral regurgitation and remarkably changed the patient's clinical outcome. We emphasize the key role of three‐dimensional transesophageal echocardiography, as it is becoming the reference imaging technique for infective endocarditis.