Left Ventricular Pseudoaneurysm Secondary to Mitral Valve Endocarditis

Bruno Bochard-Villanueva; Jordi Estornell-Erill

PMC · DOI:10.5935/abc.20150071·September 1, 2015

Left Ventricular Pseudoaneurysm Secondary to Mitral Valve Endocarditis

Bruno Bochard-Villanueva, Jordi Estornell-Erill

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Abstract

Linked entities

Genes, proteins, chemicals, diseases, species, mutations and cell lines named across the full text — each resolved to its canonical identifier and authoritative record.

Species2

Bos taurus(bovine · species)Homo sapiens(human · species)

Diseases5

mitral valve endocarditis Left Ventricular Pseudoaneurysm coronary stenosis Endocarditis mitral annular calcification

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Keywords

Ventricular Dysfunction, Left / complicationsHeart FailureHeart Valve DiseasesEndocarditis, BacterialEchocardiography, TransesophagealTomography, X-Ray Computed

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Taxonomy

TopicsCardiac Structural Anomalies and Repair · Infective Endocarditis Diagnosis and Management · Cardiac Valve Diseases and Treatments

Full text

A follow-up transesophageal echocardiography (TEE) was performed on a 76-year-old woman with a recent history of mitral valve endocarditis after 4 weeks of antibiotic treatment. TEE showed a pulsatile perivalvular echo-free space of 32 × 23 mm with a narrow orifice which communicated to the left ventricle at the posterior mitral subannular position consistent with the pseudoaneurysm (Panel A). The real-time three-dimensional TEE allowed us to see its relationship with the neighboring structures (Panels B and C). Subsequently, a coronary CT angiogram confirmed these findings and revealed no significant coronary stenosis (Panels D and E). Therefore, surgery was indicated and a bovine pericardium patch was implanted with good results.