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CASE REPORT
Year : 2017  |  Volume : 27  |  Issue : 1  |  Page : 23-25

A ruptured mitral valve aneurysm as complication of a bicuspid aortic valve endocarditis


Depatment of Emergency, Cardiology Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto, Marche Region, Italy

Correspondence Address:
Vito Maurizio Parato
Madonna del Soccorso Hospital, Via Luciano Manara, 4-7, 63074 - San Benedetto del Tronto
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.199063

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We present a case of a ruptured mitral valve (MV) aneurysm as a complication of a bicuspid aortic valve (BAV) endocarditis. It is about a young 35-year-old man, admitted to Cardiology Unit because of unexpected heart failure picture. We found a BAV endocarditis complicated by anterior MV-anterior leaflet aneurysm formation and subsequent severe MV regurgitation caused by aneurysm perforation. It was a particular and rare situation characterized by an infection of anterior mitral leaflet secondary to an infected regurgitant jet of a primary aortic infective endocarditis due to a BAV. A resulting aneurysm formation on the atrial side of the mitral anterior leaflet leads later to mitral perforation. In this article, we review the more relevant medical literature on this topic.


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