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Kissing Lesion of Mitral Valve - A Case Report

Javid Raja1, Rupesh Kumar1, Krishna Prasad Gourav2

  • 1Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education & Research - PGIMER, Chandigarh, India.

Brazilian Journal of Cardiovascular Surgery
|February 17, 2021
PubMed

Insights

Aortic valve endocarditis can damage the mitral valve, causing rare perforations. This case highlights a severe complication of infective endocarditis involving both aortic and mitral valves.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Aortic valve endocarditis frequently leads to secondary damage of the aorto-mitral curtain and anterior mitral leaflet (AML).
  • This damage is typically caused by the regurgitant jet impacting the mitral valve or by prolapsing bacterial vegetations from the aortic valve.

Observation:

  • A rare case of infective endocarditis involving the aortic valve is presented.
  • The patient exhibited secondary involvement of the anterior mitral leaflet (AML).

Findings:

  • The infective endocarditis resulted in perforation of the aortic valve's noncoronary cusp.
  • Simultaneously, a perforation of the anterior mitral leaflet (AML) was observed, a rare occurrence.

Implications:

  • This case underscores the potential for severe, rare complications of aortic valve endocarditis.
  • Understanding these 'kissing lesions' is crucial for timely diagnosis and management in infective endocarditis.
  • Highlights the importance of comprehensive echocardiographic evaluation in suspected endocarditis.
Keywords:
Aortic Valve InsufficiencyEndocarditis, BacterialMitral ValveProlapse

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