Incremental Value of Three-Dimensional Transthoracic Echocardiography in the Assessment of Ruptured Aneurysm of Anterior Mitral Leaflet

Authors

  • Sudarshan Kumar Vijay M.D., D.M.,

    Corresponding author
    1. Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
    • Address for correspondence and reprint requests: Sudarshan Kumar Vijay, M.D., D.M., Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Gomti Nagar, Lucknow, UP 226003 India. Fax: +915222258948; E-mail: skvijay1980@rediffmail.com

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  • Bhuwan Chandra Tiwari M.D., D.M.,

    1. Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
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  • Mukul Misra M.D., D.M.,

    1. Department of Cardiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
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  • Sudhanshu Kumar Dwivedi M.D., D.M.

    1. Department of Cardiology, King George's Medical University, Lucknow, India
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Abstract

The mitral valve aneurysm is a rare complication of infective endocarditis involving mitral or aortic valve. The perforation of the mitral valve aneurysm can lead to significant mitral regurgitation (MR) or thromboembolism, which can cause sudden hemodynamic deterioration. We describe here a case of healed infective endocarditis of the aortic valve with ruptured mitral valve aneurysm that led to severe MR. The aneurysm of the anterior mitral leaflet was diagnosed by two-dimensional transthoracic echocardiography. In this case, three-dimensional transthoracic echocardiography demonstrated the detailed morphology of mitral valve aneurysm which resulted in successful surgical repair of the aneurysm.

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