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European Heart Journal 1986 7(2):171-175;
Copyright © 1986 by the European Society of Cardiology.
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© 1986 The European Society of Cardiology

Mitral valve aneurysm formation documented by cross-sectional echocardiography

J.-L. VANDENBOSSCHE*,, D. HARTENBERG{dagger} and J.-L. LECLERC{ddagger}

*Cardiology Department, Saint-Pierre University Hospital Brussel
{dagger}Cardiology Department, Saint-Gilles Hospital Brussels
{ddagger}Cardiac Surgery Department, Erasme Academic Hospital Brussels, Belgium

Received 16 July 1985; revised 2 October 1985; .

Address for correspondence: Jean-Luc Vandenbossche M.D., Cardiology Department, Saint-Pierre University Hospital, Rue Haute 322, B-1000 Brussels, Belgium

Abstract

We report a case of mitral valve aneurysm secondary to Streptococcus viridans endocarditis of the mitral valve. Cross-sectional echocardiography demonstrated an initial thickening of the anterior mitral leaflet which evolved further into an aneurysm. Surgery showed that this lesion had subsequently perforated. This case highlights the ability of echocardiography to detect gradual anatomic changes in the course of bacterial endocarditis. The diagnosis of such abnormalities might have important therapeutical implications and might lead to a more aggressive surgical approach.

Key Words: Endocarditis • mitral valve aneurysm • cross-sectional echocardiography


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