Ultraschall in Med : 
DOI: 10.1055/s-0028-1109997
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Rare Case of Large Double Perforated Anterior Mitral Leaflet Pseudoaneurysm in a Patient with Aortic Valve Endocarditis

Seltener Fall eines großen zweifach perforierten Pseudoaneurysmas des anterioren Mitralsegels bei einem Patienten mit AortenklappenendokarditisA. Matana, D. Žagar, Z. Matana Kaštelan
Further Information

Publication History

received: 29.7.2009

accepted: 30.11.2009

Publication Date:
24 February 2010 (eFirst)

Introduction

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.