Rare Case of Large Double Perforated Anterior Mitral Leaflet Pseudoaneurysm in a Patient with Aortic Valve EndocarditisSeltener Fall eines großen zweifach perforierten Pseudoaneurysmas des anterioren Mitralsegels bei einem Patienten mit Aortenklappenendokarditis
29 July 2009
30 November 2009
24 February 2010 (online)
The mitral valve pseudoaneurysm is a localized outpouching of the mitral leaflet arising as a result of extension of the infection from the aortic valve. The pseudoaneurysm is most commonly perforated and communicates with adjacent heart cavities. (Karalis DG et al. Circulation 1992; 86: 353–362). Before the era of echocardiography, pseudoaneurysms were diagnosed during surgery (Reid CL et al. Am J Coll Cardiol 1983; 2: 460–464) or autopsy (Saphir O et al. Am J Pathol 1948; 24: 83–95). Echocardiography, especially transesophageal echocardiography (TEE), is currently a method of choice for the diagnosis of endocardi tis and its complications.
This article presents echocardiographic findings of a large pseudoaneurysm of the anterior mitral leaflet (AML) in a patient suffering from aortic valve endocarditis.