• Can J Cardiol · Jun 2013

    Case Reports

    Infective endocarditis presenting as an isolated aneurysm of the posterior mitral leaflet.

    • Philippe Unger, Martine Antoine, Delfyne Hastir, Chantal Dedobbeleer, and Marc Leeman.
    • Department of Cardiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. philippe.unger@erasme.ulb.ac.be
    • Can J Cardiol. 2013 Jun 1; 29 (6): 751.e11-3.

    AbstractWe describe the case of a 64-year-old woman in whom an aneurysm located on the posterior mitral leaflet was detected. Blood cultures grew methicillin-sensitive Staphylococcus epidermidis, and histologic examination of the operative specimen showed polymorphonuclear neutrophilic infiltration of the valve wall associated with fibrin and necrosis, consistent with a diagnosis of endocarditis. The posterior mitral location of the aneurysm and the absence of vegetation are exceptionally rare in this setting. This case demonstrates that a mitral aneurysm may be the sole cardiac presentation of infective endocarditis.Copyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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