Unusual Aorto-mitral Discontinuity Caused by Infective Endocarditis

Aorto-mitral discontinuity is considered a relatively rare complication of infective endocarditis, usually requiring invasive surgical procedures, including double valve replacement in addition to aortic root replacement/repair. In the present case report, images were produced using transthoracic ec...

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Bibliographic Details
Published in:Internal Medicine 2019/08/15, Vol.58(16), pp.2373-2376
Main Authors: Nakagawa, Tamami, Mori, Mika, Tada, Hayato, Ohira, Miho, Iino, Kenji, Hayashi, Kenshi, Takemura, Hirofumi, Yamagishi, Masakazu, Kawashiri, Masa-aki
Format: Article
Language:English
Subjects:
Aged
Cardiac Surgical Procedures - methods
Case Report
Echocardiography
Echocardiography - methods
Echocardiography, Transesophageal - methods
Endocarditis
Endocarditis, Bacterial - complications
Heart Aneurysm - complications
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - surgery
Humans
infective endocarditis
Internal medicine
Male
Mitral valve
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - surgery
transesophageal echocardiogram
transthoracic echocardiogram
Treatment Outcome
Ultrasonic imaging
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Summary:Aorto-mitral discontinuity is considered a relatively rare complication of infective endocarditis, usually requiring invasive surgical procedures, including double valve replacement in addition to aortic root replacement/repair. In the present case report, images were produced using transthoracic echocardiograms and transesophageal echocardiograms, which may assist in the planning of surgical procedures. The images captured using real-time three-dimensional transesophageal echocardiograms revealed aorto-mitral discontinuity and a perforated mitral valve aneurysm of the anterior leaflet.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2629-19