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Mitral kissing lesion with anterior mitral leaflet aneurysm in a child
Author(s) -
Javid Raja,
Srawanthi Ponnuru,
Baiju S. Dharan,
Suneel Pr
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_123_19
Subject(s) - medicine , cardiology , mitral valve , mitral regurgitation , lesion , ventricular outflow tract , endocarditis , infective endocarditis , diastole , leaflet (botany) , regurgitation (circulation) , perforation , aneurysm , aortic valve , surgery , blood pressure , paleontology , biology , punching , materials science , metallurgy
Aortic valve endocarditis can lead to secondary involvement of aorto mitral curtain and the adjacent anterior mitral leaflet (AML). The secondary damage to AML is often caused by the infected diastolic jet of aortic regurgitation hitting the ventricular surface of the anterior mitral leaflet, or by the pronounced bacterial vegetation that prolapses from the aortic valve into the left ventricular outflow tract. This is called "kissing lesion". We describe a case of infective endocarditis of aortic valve in a 13-year-old child causing secondary mitral valve involvement with AML perforation and aneurysm formation.

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