论文信息 - Accurate and Rapid Diagnosis of Complex Mitral Valve Aneurysm with Neoplasm via Real-time 3D Transesophageal Echocardiography.

Accurate and Rapid Diagnosis of Complex Mitral Valve Aneurysm with Neoplasm via Real-time 3D Transesophageal Echocardiography.

Mitral valve leaflet aneurysm (MVA) is a rare and potentially devastating complication of infective endocarditis. Here, we report the case of a 49-year-old man with mitral endocarditis who had an anterior MVA without aortic morphologic change and only mild regurgitation. By real-time 3D transesophageal echocardiography (TOE), we found two perforations and a hard mass in the aneurysm accompanied with severe regurgitation. The patient underwent valve replacement surgery combined with anti-infection treatment and was successfully discharged. In addition to the case report and literature review related to MVA, we also summarize the application value of RT-3D TOE in these cases.

Yiran Luo | Hongwen Tan | Qin | Chunfeng Ye | Jiren Wang

[1] R. Kuipers,et al. A Perforated Mitral Valve Aneurysm: A Rare but Serious Complication of Aortic Valve Endocarditis Resulting From a Regurgitant Jet Lesion , 2020, Cureus.

[2] S. Behera,et al. Perforation of Anterior Mitral Valve Leaflet Aneurysm: Complication of Enterococcus Faecalis Infective Endocarditis , 2020, Cureus.

[3] S. Sami,et al. Rare aneurysm of anterior mitral valve leaflet-a case report , 2019, Journal of Cardiothoracic Surgery.

[4] C. Brunelli,et al. Anterior Mitral Valve Aneurysm Is an Uncommon Complication of Aortic Valve Infective Endocarditis: A Case Report , 2018, The American journal of case reports.

[5] B. D. de Mol,et al. Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm. , 2016, Texas Heart Institute journal.

[6] M. Ozkan,et al. Clinical and echocardiographic evaluation of mitral valve aneurysms: a retrospective, single center study , 2014, The International Journal of Cardiovascular Imaging.

[7] Tae Ik Kim,et al. Perforated Mitral Valve Aneurysm in the Posterior Leaflet without Infective Endocarditis , 2012, Journal of cardiovascular ultrasound.

[8] L. Sade,et al. Mitral valve aneurysm associated with aortic valve regurgitation. , 2009, Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir.