© Georg Thieme Verlag KG Stuttgart · New York
Rare Case of Large Double Perforated Anterior Mitral Leaflet Pseudoaneurysm in a Patient with Aortic Valve EndocarditisSeltener Fall eines großen zweifach perforierten Pseudoaneurysmas des anterioren Mitralsegels bei einem Patienten mit Aortenklappenendokarditis
24 February 2010 (eFirst)
The mitral valve pseudoaneurysm is a localized outpouching of the mitral leaflet arising as a result of extension of the infection from the aortic valve. The pseudoaneurysm is most commonly perforated and communicates with adjacent heart cavities. (Karalis DG et al. Circulation 1992; 86: 353 – 362). Before the era of echocardiography, pseudoaneurysms were diagnosed during surgery (Reid CL et al. Am J Coll Cardiol 1983; 2: 460 – 464) or autopsy (Saphir O et al. Am J Pathol 1948; 24: 83 – 95). Echocardiography, especially transesophageal echocardiography (TEE), is currently a method of choice for the diagnosis of endocarditis and its complications.
This article presents echocardiographic findings of a large pseudoaneurysm of the anterior mitral leaflet (AML) in a patient suffering from aortic valve endocarditis.