Muscente Francesca, Scarano Michele, Clemente Daniela, Pezzuoli Franco, Parato Vito Maurizio
Depatment of Emergency, Cardiology Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto, Marche Region, Italy.
J Cardiovasc Echogr. 2017 Jan-Mar;27(1):23-25. doi: 10.4103/2211-4122.199063.
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.
我们报告一例二尖瓣（MV）动脉瘤破裂作为二叶式主动脉瓣（BAV）心内膜炎并发症的病例。患者为一名35岁的年轻男性，因突发心力衰竭症状入住心内科。我们发现一例BAV心内膜炎，并发二尖瓣前叶动脉瘤形成，随后因动脉瘤穿孔导致严重二尖瓣反流。这是一种特殊且罕见的情况，其特征为原发性BAV感染性心内膜炎的感染性反流束继发二尖瓣前叶感染，二尖瓣前叶心房侧形成的动脉瘤随后导致二尖瓣穿孔。在本文中，我们回顾了关于该主题的更多相关医学文献。
