Abstract:
:Anatomic continuity between the anterior mitral leaflet and the aortic root may predispose those patients with aortic root pathology to functional changes of the mitral valve without any involvement of this valve. A 34-year-old man presented with aortic valve endocarditis. Transthoracic echocardiograpy showed severe aortic regurgitation with a large aortic root abscess. The anterior leaflet of the mitral valve was displaced towards the apex of the heart causing moderate mitral regurgitation. The patient underwent aortic valve replacement with reconstruction of the aortic annulus and ventriculoaortic continuity. This procedure alone restored the mitral valve structure and function without any need for intervention on the mitral valve. Aortic abscess is a serious complication of aortic valve endocarditis and may alter the function of other structures of the heart, especially the mitral valve. Restoration of aortic wall integrity and left ventricular-aortic continuity usually restores the mitral valve structure and function if the valve is unaffected by the infection. A decision on the mitral valve should be made following correction of the aortic pathology.
journal_name
Heart Vesselsjournal_title
Heart and vesselsauthors
Gunay I,Mert M,Kucukoglu S,Ozkan AA,Okcun Bdoi
10.1007/s00380-004-0761-0subject
Has Abstractpub_date
2005-02-01 00:00:00pages
33-6issue
1eissn
0910-8327issn
1615-2573journal_volume
20pub_type
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journal_title:Heart and vessels
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