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Updated: Oct 5, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

[Cross-sectional imaging of post endocarditis paravalvular myocardial abscesses of native mitral valves: 4 cases]

C Reynier1, J Garcier, B Legault

  • 1Service de Radiologie, CHU Montpied BP 69, 63003 Clermont-Ferrand Cedex.

Journal De Radiologie
|July 13, 2001
PubMed

Insights

Submitral myocardial abscesses, rare post-endocarditis complications in fragile patients, can be suggested by CT and MRI. These imaging techniques aid in diagnosis and surgical planning for this infrequent condition.

Area of Science:

  • Cardiology
  • Radiology
  • Infectious Diseases

Background:

  • Subvalvular aortic abscesses are well-documented complications of endocarditis.
  • Submitral myocardial abscesses are infrequently described, posing diagnostic challenges.

Observation:

  • This study details four cases of submitral myocardial abscesses in critically ill patients, often with comorbidities like diabetes mellitus and cardiovascular disease.
  • Staphylococcus aureus was identified as the causative agent in two cases.
  • An iatrogenic source was noted in one patient, highlighting potential procedural risks.

Findings:

  • Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) can incidentally suggest the diagnosis of submitral myocardial abscess.
  • These advanced imaging modalities provide crucial morphological details for surgical assessment.

Implications:

  • CT and MRI offer valuable diagnostic support, complementing echocardiography, particularly transesophageal echocardiography.
  • Accurate imaging is essential for optimizing the timing of surgical intervention in these complex cases.

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