Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Department of Cardiac Anasthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Ann Card Anaesth. 2021 Jan-Mar;24(1):108-110. doi: 10.4103/aca.ACA_123_19.
Aortic valve endocarditis can lead to secondary involvement of aorto mitral curtain and the adjacent anterior mitral leaflet (AML). The secondary damage to AML is often caused by the infected diastolic jet of aortic regurgitation hitting the ventricular surface of the anterior mitral leaflet, or by the pronounced bacterial vegetation that prolapses from the aortic valve into the left ventricular outflow tract. This is called "kissing lesion". We describe a case of infective endocarditis of aortic valve in a 13-year-old child causing secondary mitral valve involvement with AML perforation and aneurysm formation.
主动脉瓣心内膜炎可导致主动脉二尖瓣瓣幕和相邻的前二尖瓣叶（AML）的继发性受累。AML 的继发性损伤通常是由感染性主动脉瓣反流的舒张喷射撞击前二尖瓣叶的心室面引起的，或者是由从主动脉瓣脱垂入左心室流出道的明显细菌赘生物引起的。这被称为“亲吻病变”。我们描述了一例 13 岁儿童的感染性心内膜炎导致主动脉瓣受累，继发二尖瓣受累，前二尖瓣叶穿孔和动脉瘤形成。
