J Cardiovasc Imaging.  2019 Oct;27(4):283-285. 10.4250/jcvi.2019.27.e35.

Ruptured Mitral Valve Aneurysm: A Rare Complication of Mitral Valve Endocarditis

• Fontes Oliveira M
• Trêpa M
• Silveira I
• Cabral S
• Torres S

• KMID: 2468356
• DOI: http://doi.org/10.4250/jcvi.2019.27.e35

Abstract

No abstract available.

MeSH Terms

Aneurysm*
Endocarditis*
Mitral Valve*

Figure

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  Figure 1 Transthoracic echocardiogram (apical 4-chamber view). (A) Saccular bulge on the atrial side of the anterior mitral valve leaflet (orange arrow) and vegetations (blue arrow). (B) Color Doppler image showing mitral regurgitation jet through the ruptured aneurysm (green arrow). LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle.

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  Figure 2 Transesophageal echocardiogram (3-chamber view). (A) Anterior mitral valve leaflet with large ruptured aneurysm (2.2 × 2.5 cm) (orange arrow) and a large moving mitral vegetation (blue arrow). (B) Transesophageal echocardiogram (2-chamber view). Color Doppler image showing severe mitral regurgitation through the ruptured aneurysm (green arrow). Ao: ascending aorta, LA: left atrium, LV: left ventricle.

Reference

1. Guler A, Karabay CY, Gursoy OM, et al. Clinical and echocardiographic evaluation of mitral valve aneurysms: a retrospective, single center study. Int J Cardiovasc Imaging. 2014; 30:535–541.

2. Pena JLB, Bomfim TO, Fortes PRL, Simão-Filho C, de Souza Andrade-Filho J. Mitral valve aneurysms: clinical characteristics, echocardiographic abnormalities, and possible mechanisms of formation. Echocardiography. 2017; 34:986–991.

3. Silbiger JJ. Review: Mitral valve aneurysms in infective endocarditis: mechanisms, clinical recognition, and treatment. J Heart Valve Dis. 2009; 18:476–480.