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Updated: Oct 9, 2025
07:42
An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
Published on: May 19, 2020
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Native mitral valve staphylococcus endocarditis with a very unusual complication: Ruptured posterior mitral valve
Samuel D Maidman1, Nicholas J Kiefer1, Samuel Bernard1
1Leon H. Charney Division of Cardiology, NYU Grossman School of Medicine, NYU Langone Health, New York, New York, USA.
Echocardiography (Mount Kisco, N.Y.)
|December 19, 2021
Summary
Infective endocarditis (IE) can cause dangerous mitral valve aneurysms. This case highlights a rare posterior leaflet rupture, emphasizing unusual IE complications.
Area of Science:
- Cardiology
- Pathology
- Medical Imaging
Background:
- Infective endocarditis (IE) is a severe infection with high mortality rates.
- Mitral valve damage from IE can lead to leaflet destruction and, rarely, aneurysm formation.
- Aneurysms typically occur on the anterior mitral leaflet.
Observation:
- A patient with infective endocarditis presented with a rare complication.
- The complication involved a ruptured aneurysm of the posterior leaflet of the mitral valve.
- Imaging and surgical analysis confirmed the rupture at the P2-P3 scallop junction, with an annular abscess.
Findings:
- Demonstration of a ruptured posterior mitral leaflet aneurysm in infective endocarditis.
- Identification of an unusual rupture site at the P2-P3 scallop junction.
- Association of the aneurysm with a surrounding annular abscess.
Implications:
- This case expands the understanding of rare IE complications involving the mitral valve.
- Highlights the importance of advanced imaging in diagnosing complex IE cases.
- Suggests potential for posterior leaflet involvement in mitral valve aneurysms secondary to IE.
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