Vandenbossche J L, Hartenberg D, Leclerc J L
Eur Heart J. 1986 Feb;7(2):171-5. doi: 10.1093/oxfordjournals.eurheartj.a062041.
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.
我们报告一例由草绿色链球菌性二尖瓣心内膜炎继发的二尖瓣动脉瘤病例。横断面超声心动图显示二尖瓣前叶最初增厚，随后发展为动脉瘤。手术显示该病变随后发生了穿孔。该病例突出了超声心动图在检测细菌性心内膜炎过程中解剖结构逐渐变化方面的能力。诊断此类异常可能具有重要的治疗意义，并可能导致更积极的手术方法。
