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(Circulation. 1997;95:2169.)
© 1997 American Heart Association, Inc.

Articles

Mitral Valve Aneurysm

Isidre Vilacosta, MD; Vicente Peral, MD; José Alberto San Román, MD; Elena Batlle, MD; Rocio Tello, MD; Pedro Rodríguez, MD; Juan Antonio Castillo, MD

From the Department of Cardiology, Hospital Universitario San Carlos, Madrid, Spain.

Correspondence to Dr Isidre Vilacosta, Serrano 46, Madrid 28001, Spain.

	Introduction

 
A 22-year-old man had infective endocarditis and an aneurysm of the anterior mitral leaflet. Blood cultures grew Streptococcus viridans, and the patient was successfully treated with high-dose intravenous penicillin. A transthoracic echocardiogram demonstrating the aneurysm is presented.

View larger version (92K): [in this window] [in a new window]   Figure 1. Top, Two-dimensional echocardiogram in parasternal long-axis view showing perforation of anterior mitral leaflet (arrow) and mitral valve aneurysm (asterisk). Bottom: Right, End-systolic frame demonstrating distended aneurysm (asterisk). A huge vegetative mass attached to anterior mitral leaflet (three arrows) is also seen. Left, End-diastolic frame demonstrating collapsed aneurysm (arrow). AO indicates aorta; LA, left atrium; and LV, left ventricle.

	Footnotes

 
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.