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  • Title: [Mycotic aneurysm of the left ventricular free wall complicating aortic valve endocarditis].
    Author: Correia E, Almeida J, Madureira AJ, Monteiro V.
    Journal: Rev Port Cardiol; 2012 Jan; 31(1):31-4. PubMed ID: 22153312.
    Abstract:
    We report the case of a 34-year-old man with aortic valve infective endocarditis caused by methicillin-resistant Staphylococcus aureus, complicated by an aortic annular abscess. A 23-mm St. Jude HP aortic mechanical prosthesis was implanted. The pre-discharge echocardiogram revealed a mycotic aneurysm of the basal posteroinferior wall, confirmed by cardiac magnetic resonance imaging, and it was decided to reintervene. The aneurysm was closed with a patch and the mitral valve had to be replaced. Although a small leak from the aneurysm patch persisted on the pre-discharge transthoracic echocardiogram, there was no trace of the aneurysm at nine-month re-evaluation. This case illustrates a rare complication of aortic valve endocarditis and shows the evolution of the mycotic aneurysm after closure via a transmitral approach.
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