Large Pseudoaneurysm of the Mitral Annulus as an Infective Endocarditis Complication: A 3D Echocardiography Role in Diagnosis and Surgical Procedure (pages E261–E263)
Nuno Moreno, Cristina Sánchez-Enrique, Pedro Marcos-Alberca, José Alberto de Agustín, Pablo Luengo, Luis Maroto, Leopoldo Pérez de Isla and Carlos Macaya
Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12644
In this report, we present the case of an 85-year-old patient with a recent history of an infective endocarditis (IE) referred to our hospital for severe mitral regurgitation. After closer observation, echocardiography showed a large pseudoaneurysm in the posterior mitral annulus opening into the left ventricle. Anatomical assessment by 2D and 3D transesophageal echocardiogram (TEE) was essential for a detailed morphologic characterization and surgical procedure delineation. This type of IE mitral periannular extension is uncommon and early surgical intervention is critical, however the outcome is still often adverse.