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Mitral kissing lesion with anterior mitral leaflet aneurysm in a child

Javid Raja1, Srawanthi Ponnuru1, Baiju S Dharan1

  • 1Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

Annals of Cardiac Anaesthesia
|May 3, 2021
PubMed

Insights

Infective endocarditis of the aortic valve can damage the mitral valve, causing perforation and aneurysm. This case highlights secondary mitral valve involvement in a pediatric patient.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pediatric Cardiology

Background:

  • Aortic valve endocarditis can extend to the mitral valve apparatus.
  • Secondary mitral valve damage occurs via regurgitant jets or prolapsing vegetations.
  • The
  • kissing lesion
  • describes this specific interaction.

Observation:

  • A 13-year-old child presented with infective endocarditis of the aortic valve.
  • The patient exhibited secondary involvement of the mitral valve.
  • Specific findings included anterior mitral leaflet (AML) perforation and aneurysm formation.

Findings:

  • The case illustrates a rare complication of aortic valve endocarditis.
  • Secondary mitral valve damage, including AML perforation and aneurysm, was observed.
  • The mechanism involved the direct impact of aortic regurgitation or vegetations.

Implications:

  • This case underscores the importance of vigilant monitoring for mitral valve complications in pediatric endocarditis.
  • Early recognition and management of secondary mitral valve damage are crucial.
  • Understanding the pathogenesis of
  • kissing lesions
  • can improve patient outcomes.
Keywords:
Anterior mitral leaflet aneurysminfective endocarditiskissing lesion

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