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[Perforated posterior mitral valve aneurysm: a rare complication of infective endocarditis: a case report]

Loubna Hara1, Fatima-Zahra El Hattab1, Fatima-Zohra Radi1

  • 1Service de Cardiologie B, CHU Ibn Sina, Rabat, Maroc.

The Pan African Medical Journal
|July 18, 2019
PubMed

Insights

Mitral valve aneurysm, a rare condition, can cause severe mitral regurgitation. Early surgical intervention is crucial for successful treatment of this complication of infectious endocarditis.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • Mitral valve aneurysm is a rare cardiac abnormality characterized by a bulge of a mitral valve leaflet into the left atrium.
  • The pathophysiology of mitral valve aneurysms remains poorly understood, with posterior leaflet involvement being exceptionally rare.

Observation:

  • A 26-year-old male with a history of rheumatic aortic regurgitation presented with fever and left heart failure.
  • Echocardiography revealed aortic valve vegetations and a significant mitral valve aneurysm with severe mitral regurgitation.

Findings:

  • The patient underwent successful mitral and aortic valve replacement.
  • Postoperative recovery was uncomplicated.

Implications:

  • This case highlights the importance of clinical suspicion for rare cardiac complications like mitral valve aneurysm.
  • Prompt diagnosis through advanced imaging (TTE, TEE) and early surgical management are critical for favorable outcomes in infectious endocarditis involving mitral valve aneurysms.
Keywords:
Mycotic aneurysmTEETTEaortic regurgitationinfectious endocarditisposterior mitral valve

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