Rare complications of infective endocarditis in marfan-like morphotype: diagnosis of multiple mitral valve aneurysms and aortic root abscess using three-dimensional transesophageal echocardiography

• Published in: BMC cardiovascular disorders Vol. 24; no. 1; p. 51
• Main Authors: Boumaaz, Meriem, Lahjouji, Mohamed Reda, Faraj, Raid, Mouine, Najat, Asfalou, Iliyasse, Benyass, Aatif
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 15.01.2024; BioMed Central; BMC
• Subjects: 3D-Transesophageal echocardiography; Abscess; Abscesses; Analysis; Aneurysm; Aneurysms; Antibiotics; Aortic valve; Asymptomatic; Bicuspid aortic valve; Blood; Cardiac surgery; Care and treatment; Case Report; Coexistence; Complications and side effects; Diagnosis; Echocardiography; Embolization; Endocarditis; Infective endocarditis; Marfan like morphotype; Marfan syndrome; Mitral valve; Mitral valve aneurysm; Mitral valve insufficiency; Prevention; Risk factors; Saccule; Streptococcus infections; Surgery; Morocco; 3D-Transesophageal echocardiography; Case report; Bicuspid aortic valve; Infective endocarditis; Marfan like morphotype; Cardiac surgery; Mitral valve aneurysm
• ISSN: 1471-2261; 1471-2261
• DOI: 10.1186/s12872-024-03715-3

Mitral valve aneurysm (MVA) is characterized by a saccular outpouching of the mitral leaflet, and it represents a rare condition typically associated with aortic valve endocarditis. Three-Dimensional Transesophageal Echocardiography (3D-TEE) serves as an effective tool for detecting the presence of MVA and its potential complications. In this report, we present a case involving a young man with striking images of bicuspid aortic valve endocarditis complicated by an aortic root abscess and multiple perforated mitral valve aneurysms, diagnosed using 3D TEE. This case suggests the uncommon coexistence of Marfan like morphotype, bicuspid aortic valve, and infective endocarditis as a triple mechanism in the occurrence of MVA. It underscores the significance of early and accurate imaging diagnosis for facilitating prompt surgical intervention.