Large mitral valve aneurysm with infective endocarditis.
| Autor: | Uematsu S; Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan., Ashihara K; Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan., Tomioka H; Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan., Takagi A; Department of Cardiology, Saiseikai Kawaguchi General Hospital, Kawaguchi, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2015 Apr 15; Vol. 2015. Date of Electronic Publication: 2015 Apr 15. |
| DOI: | 10.1136/bcr-2014-209092 |
| Abstrakt: | A 63-year-old man with infective endocarditis (IE) was admitted to our hospital after experiencing acute heart failure. A two-dimensional transthoracic and transesophageal echocardiography revealed vegetation attached to both aortic and mitral valves, a very large mitral valve aneurysm, a severe mitral regurgitation jet issuing from a mitral valve perforation and severe aortic regurgitation. Three days after admission, both the aortic and mitral valves were replaced. The patient received antibiotic therapy for 6 weeks postoperatively and recovered with no neurological complications. Although the patient was discharged without recurrence of IE, his transthoracic and transesophageal echocardiography showed periprosthetic mitral regurgitation, requiring him to receive close follow-up monitoring. This case report exemplifies the rather unusual, but important, complications of aortic valve IE, and suggests some suitable forms of intervention. (2015 BMJ Publishing Group Ltd.) |
| Databáze: | MEDLINE |
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