Mitral valve aneurysm is a rare condition usually associated with aortic valve endocarditis. The mechanism, poorly understood, generally includes a regurgitant infectious flow originating from the aortic valve, direct contact with vegetation and direct propagation, through adjacent structures, such as the mitro-aortic intervalvular fibrous body. This report details the case of a 56-year-old patient followed for severe bicuspid aortic insufficiency of the aortic valve for 4 months and admitted to heart failure due to infectious endocarditis with a fatal outcome. Physical examination revealed aortic and mitral insufficiency syndrome and congestive heart failure. Transthoracic echocardiography revealed type 1 L-R bicuspid heart disease and leaking polyvalvulopathy with severe eccentric aortic and severe mitral regurgitation. The aortic and mitral valves were the seat of the vegetations. The mitral valve was the seat on its atrial side of a contained aneurysmal sac with thrombosed hyperechogenicity. Blood cultures were positive for streptococci and probabilistic dual antibiotic therapy was started. The patient was unable to benefit from surgical treatment. However, the patient died following complications such as ischemic stroke and septic shock. A necropsy was not done.
| Published in | Cardiology and Cardiovascular Research (Volume 8, Issue 3) |
| DOI | 10.11648/j.ccr.20240803.12 |
| Page(s) | 87-91 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Anterior Mitral Valve Leaflet Aneurysm, Infectious Endocarditis, Bicuspid Aortic Valve
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APA Style
Diouf, M. T., Faye, P. A., Guissé, P. M., Mingou, J. S., Kane, A. (2024). Aneurysm of the Anterior Mitral Valve Complicating Infectious Mitro-Aortic Endocarditis in a Biscuspid Aortic Valve: About a Case. Cardiology and Cardiovascular Research, 8(3), 87-91. https://doi.org/10.11648/j.ccr.20240803.12
ACS Style
Diouf, M. T.; Faye, P. A.; Guissé, P. M.; Mingou, J. S.; Kane, A. Aneurysm of the Anterior Mitral Valve Complicating Infectious Mitro-Aortic Endocarditis in a Biscuspid Aortic Valve: About a Case. Cardiol. Cardiovasc. Res. 2024, 8(3), 87-91. doi: 10.11648/j.ccr.20240803.12
AMA Style
Diouf MT, Faye PA, Guissé PM, Mingou JS, Kane A. Aneurysm of the Anterior Mitral Valve Complicating Infectious Mitro-Aortic Endocarditis in a Biscuspid Aortic Valve: About a Case. Cardiol Cardiovasc Res. 2024;8(3):87-91. doi: 10.11648/j.ccr.20240803.12
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Download@article{10.11648/j.ccr.20240803.12,
author = {Marguerite Téning Diouf and Papa Adama Faye and Papa Momar Guissé and Joseph Salvator Mingou and Abdoul Kane},
title = {Aneurysm of the Anterior Mitral Valve Complicating Infectious Mitro-Aortic Endocarditis in a Biscuspid Aortic Valve: About a Case
},
journal = {Cardiology and Cardiovascular Research},
volume = {8},
number = {3},
pages = {87-91},
doi = {10.11648/j.ccr.20240803.12},
url = {https://doi.org/10.11648/j.ccr.20240803.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20240803.12},
abstract = {Mitral valve aneurysm is a rare condition usually associated with aortic valve endocarditis. The mechanism, poorly understood, generally includes a regurgitant infectious flow originating from the aortic valve, direct contact with vegetation and direct propagation, through adjacent structures, such as the mitro-aortic intervalvular fibrous body. This report details the case of a 56-year-old patient followed for severe bicuspid aortic insufficiency of the aortic valve for 4 months and admitted to heart failure due to infectious endocarditis with a fatal outcome. Physical examination revealed aortic and mitral insufficiency syndrome and congestive heart failure. Transthoracic echocardiography revealed type 1 L-R bicuspid heart disease and leaking polyvalvulopathy with severe eccentric aortic and severe mitral regurgitation. The aortic and mitral valves were the seat of the vegetations. The mitral valve was the seat on its atrial side of a contained aneurysmal sac with thrombosed hyperechogenicity. Blood cultures were positive for streptococci and probabilistic dual antibiotic therapy was started. The patient was unable to benefit from surgical treatment. However, the patient died following complications such as ischemic stroke and septic shock. A necropsy was not done.
},
year = {2024}
}
TY - JOUR T1 - Aneurysm of the Anterior Mitral Valve Complicating Infectious Mitro-Aortic Endocarditis in a Biscuspid Aortic Valve: About a Case AU - Marguerite Téning Diouf AU - Papa Adama Faye AU - Papa Momar Guissé AU - Joseph Salvator Mingou AU - Abdoul Kane Y1 - 2024/08/30 PY - 2024 N1 - https://doi.org/10.11648/j.ccr.20240803.12 DO - 10.11648/j.ccr.20240803.12 T2 - Cardiology and Cardiovascular Research JF - Cardiology and Cardiovascular Research JO - Cardiology and Cardiovascular Research SP - 87 EP - 91 PB - Science Publishing Group SN - 2578-8914 UR - https://doi.org/10.11648/j.ccr.20240803.12 AB - Mitral valve aneurysm is a rare condition usually associated with aortic valve endocarditis. The mechanism, poorly understood, generally includes a regurgitant infectious flow originating from the aortic valve, direct contact with vegetation and direct propagation, through adjacent structures, such as the mitro-aortic intervalvular fibrous body. This report details the case of a 56-year-old patient followed for severe bicuspid aortic insufficiency of the aortic valve for 4 months and admitted to heart failure due to infectious endocarditis with a fatal outcome. Physical examination revealed aortic and mitral insufficiency syndrome and congestive heart failure. Transthoracic echocardiography revealed type 1 L-R bicuspid heart disease and leaking polyvalvulopathy with severe eccentric aortic and severe mitral regurgitation. The aortic and mitral valves were the seat of the vegetations. The mitral valve was the seat on its atrial side of a contained aneurysmal sac with thrombosed hyperechogenicity. Blood cultures were positive for streptococci and probabilistic dual antibiotic therapy was started. The patient was unable to benefit from surgical treatment. However, the patient died following complications such as ischemic stroke and septic shock. A necropsy was not done. VL - 8 IS - 3 ER -
Cardiology Department, Dalal Jamm Hospital, Dakar, Senegal
Cardiology Department, Dalal Jamm Hospital, Dakar, Senegal
Cardiology Department, Dalal Jamm Hospital, Dakar, Senegal
