Case report: pseudoaneurysm of left ventricle secondary to infective endocarditis complicated by cardiac rupture-a multimodality imaging approach.

ABSTRACT:

Background

Pseudoaneurysm (PSA) of the left ventricle (LV) is a rare peri-annular complication of infective endocarditis (IE), and it is associated with high risk of free wall rupture. The diagnosis is challenging because the exact incidence and the pathogenesis are still unclear.

Case summary

A 69-year-old lady underwent prosthetic mitral valve replacement for IE secondary to Staphylococcus aureus sepsis complicated by multiple embolizations. In the post-operative period, the patient developed persistent low-grade fever with negative blood culture. Transoesophageal echocardiography (TOE) revealed complete posterior valve detachment and a PSA sac arising from the antero-lateral commissure; the colour flow Doppler showed massive mitral regurgitation. Thoracic computed

SUBMITTER: Ruggerini S 

PROVIDER: S-EPMC11244180 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature