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Ann Thorac Surg 2004;78:e65-e66
© 2004 The Society of Thoracic Surgeons

Case report

Aneurysm of the Mitral Valve: A Rare Complication of Aortic Valve Endocarditis

Michael E. Halkos, MDa,*, John D. Symbas, BSa, Joel M. Felner, MDb, Panagiotis N. Symbas, MDa

a Cardiothoracic Surgery, Atlanta, Georgia, USA
b Cardiology, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia, USA

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Halkos, Cardiothoracic Research Laboratory, Emory Crawford Long Hospital, 550 Peachtree St, NE, Atlanta, GA 30308-2225, USA
mhalkos{at}emory.edu

A 45-year-old man presented to our hospital with severe dyspnea 4 months after antibiotic treatment for aortic valve endocarditis. Transesophageal echocardiography revealed severe aortic regurgitation and an aneurysm of the anterior leaflet of the mitral valve. In addition to aortic valve replacement, we excised the aneurysm and repaired the anterior leaflet of the mitral valve. Clinical suspicion, appropriate preoperative imaging, and timely surgical intervention are essential to recognize and treat this rare complication of bacterial endocarditis.




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[Abstract] [Full Text] [PDF]


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