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Anterior mitral valve aneurysm: a rare sequelae of aortic valve endocarditis

Summary

In intravenous drug abusers, infective endocarditis usually involves right-sided valves, with Staphylococcus aureus being the most common etiologic agent. We present a patient who is an intravenous drug abuser with left-sided (aortic valve) endocarditis caused by Enterococcus faecalis who subsequently developed an anterior mitral valve aneurysm, which is an exceedingly rare complication. A systematic literature search was conducted which identified only five reported cases in the literature of mitral valve aneurysmal rupture in the setting of E. faecalis endocarditis. Real-time 3D-transesophageal echocardiography was critical in making an accurate diagnosis leading to timely intervention.

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Correspondence to Rajesh Janardhanan MD MRCP FACC FASE.

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Janardhanan, R., Kamal, M.U., Riaz, I.B. et al. Anterior mitral valve aneurysm: a rare sequelae of aortic valve endocarditis. Echo Res Pract 3, K7–K13 (2016). https://doi.org/10.1530/ERP-16-0003

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  • DOI: https://doi.org/10.1530/ERP-16-0003