Large Pseudoaneurysm of the Mitral Annulus as an Infective Endocarditis Complication: A 3D Echocardiography Role in Diagnosis and Surgical Procedure
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2014
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Wiley
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Moreno, N., Sánchez-Enrique, C., Marcos-Alberca, P., de Agustín, J. A., Luengo, P., Maroto, L., Pérez de Isla, L., & Macaya, C. (2014). Large Pseudoaneurysm of the mitral annulus as an infective endocarditis complication: a 3D echocardiography role in diagnosis and surgical procedure. Echocardiography (Mount Kisco, N.Y.), 31(8), E261–E263. https://doi.org/10.1111/echo.12644
Abstract
In this report, we present the case of an 85-year-old patient with a recent history of an infective endocarditis (IE) referred to our hospital for severe mitral regurgitation. After closer observation, echocardiography showed a large pseudoaneurysm in the posterior mitral annulus opening into the left ventricle. Anatomical assessment by 2D and 3D transesophageal echocardiogram (TEE) was essential for a detailed morphologic characterization and surgical procedure delineation. This type of IE mitral periannular extension is uncommon and early surgical intervention is critical, however the outcome is still often adverse.