Cardiac pseudoaneurysm as a complication of native mitral valve infective endocarditis

Author:

Khan Muhammad Zubair1ORCID,Shah Rakesh2,Franklin Sona1,Kutalek Steven2,Haridas Anand2

Affiliation:

1. Department of Internal Medicine, St. Mary Medical Center, 1201 Newtown-Langhorne Rd, Langhorne, PA 19047, USA

2. Department of Cardiology, St. Mary Medical Center, 1201 Newtown-Langhorne Rd, Langhorne, PA 19047, USA

Abstract

Abstract Background The delayed development of a mitral valve annulus pseudoaneurysm is a rare and late complication of a native mitral abscess cavity. Case summary Currently, there are no documented cases of a pseudoaneurysm developing from an abscess cavity of the posterior annulus of the native mitral valve. We report a case of a patient who presented with worsening progressive shortness of breath that was found to be secondary to a pseudoaneurysm. This was detected by 2D echocardiogram and cardiac computed tomography angiography. Discussion In our case, the patient developed a late complication of a ventricular pseudoaneurysm originating from the mitral annular area of the abscess cavity. Per the surgical literature, one method to avoid the aforementioned complication is via cavity repair with a bovine patch.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

Reference7 articles.

1. Left ventricular pseudoaneurysm following atrioventricular groove rupture after mitral valve replacement;Antonic;SAGE Open Med Case Rep,2019

2. Left ventricular pseudoaneurysm as a complication of prosthetic mitral valve infective endocarditis;Shimotakahara;J Cardiol Cases,2013

3. Left ventricular pseudoaneurysm;Frances;J Am Coll Cardiol,1998

4. Prosthetic valve endocarditis: current approach and therapeutic options;Habib;Prog Cardiovasc Dis,2008

5. Pseudoaneurysms of the heart;Hulten;Circulation,2012

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