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. 1982 Apr;47(4):392–396. doi: 10.1136/hrt.47.4.392

Echocardiographic detection of subvalvar aortic root aneurysm extending to mitral valve annulus as complication of aortic valve endocarditis.

B E Griffiths, M C Petch, T A English
PMCID: PMC481152  PMID: 6895998

Abstract

Acute aortic regurgitation as a consequence of infective endocarditis developed in a young man after peritonitis. A large subvalvar aortic root aneurysm extending to the mitral valve annulus together with features of severe acute aortic regurgitation were shown by M-mode echocardiography. The echocardiographic findings were confirmed at operation when obliteration of the aneurysmal space and aortic valve replacement were performed. Postoperative echocardiography confirmed obliteration of the aneurysmal space.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABRAHAMS D. G., BARTON C. J., COCKSHOTT W. P., EDINGTON G. M., WEAVER E. J. Annular subvalvular left ventricular aneurysms. Q J Med. 1962 Jul;31:345–360. [PubMed] [Google Scholar]
  2. Alter B. R., Treasure R. L., Martin H. A., Humphrey S. H., Murgo J. P., McGranahan G. M., Jr Echocardiographic detection of a subannular aortic aneurysm. Am Heart J. 1978 Oct;96(4):525–528. doi: 10.1016/0002-8703(78)90166-7. [DOI] [PubMed] [Google Scholar]
  3. Botvinick E. H., Schiller N. B., Wickramasekaran R., Klausner S. C., Gertz E. Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency. Its clinical implications. Circulation. 1975 May;51(5):836–847. doi: 10.1161/01.cir.51.5.836. [DOI] [PubMed] [Google Scholar]
  4. CHESLER E., JOFFE N., SCHAMROTH L., MEYERS A. ANNULAR SUBVALVULAR LEFT VENTRICULAR ANEURYSMS IN THE SOUTH AFRICAN BANTU. Circulation. 1965 Jul;32:43–51. doi: 10.1161/01.cir.32.1.43. [DOI] [PubMed] [Google Scholar]
  5. Chesler E., Korns M. E., Porter G. E., Reyes C. N., Edwards J. E. False aneurysm of the left ventricle secondary to bacterial endocarditis with perforation of the mitral-aortic invervalvular fibrosa. Circulation. 1968 Apr;37(4):518–523. doi: 10.1161/01.cir.37.4.518. [DOI] [PubMed] [Google Scholar]
  6. Chesler E., Tucker R. B., Barlow J. B. Subvalvular and apical left ventricular aneurysms in the Bantu as a source of systemic emboli. Circulation. 1967 Jun;35(6):1156–1162. doi: 10.1161/01.cir.35.6.1156. [DOI] [PubMed] [Google Scholar]
  7. Echocardiographic examination in aortic regurgitation. Chest. 1976 Dec;70(6):771–773. doi: 10.1378/chest.70.6.771. [DOI] [PubMed] [Google Scholar]
  8. Edwards J. E. Mitral insufficiency secondary to aortic valvular bacterial endocarditis. Circulation. 1972 Sep;46(3):623–626. doi: 10.1161/01.cir.46.3.623. [DOI] [PubMed] [Google Scholar]
  9. Fox S., Kotler M. N., Segal B. L., Parry W. Echocardiographic diagnosis of acute aortic valve endocarditis and its complications. Arch Intern Med. 1977 Jan;137(1):85–89. [PubMed] [Google Scholar]
  10. Gleckman R. Culture negative bacterial endocarditis confirming the diagnosis. Am Heart J. 1977 Jul;94(1):125–126. doi: 10.1016/s0002-8703(77)80354-2. [DOI] [PubMed] [Google Scholar]
  11. Gonzalez-Lavin L., Lise M., Ross D. The importance of the "jet lesion" in bacterial endocarditis involving the left heart. Surgical considerations. J Thorac Cardiovasc Surg. 1970 Feb;59(2):185–192. [PubMed] [Google Scholar]
  12. Gonzalez-Lavin L., Scappatura E., Lise M., Ross D. N. Mycotic aneurysms of the aortic root: a complication of aortic valve endocarditis. Ann Thorac Surg. 1970 Jun;9(6):51–61. doi: 10.1016/s0003-4975(10)65550-6. [DOI] [PubMed] [Google Scholar]
  13. Gross L., Kugel M. A. Topographic Anatomy and Histology of the Valves in the Human Heart. Am J Pathol. 1931 Sep;7(5):445–474.7. [PMC free article] [PubMed] [Google Scholar]
  14. Hatcher C. R., Jr, Symbas P. N., Logan W. D., Jr, Abbott O. A. Surgical aspects of endocarditis of the aortic root. Am J Cardiol. 1969 Feb;23(2):192–198. doi: 10.1016/0002-9149(69)90066-6. [DOI] [PubMed] [Google Scholar]
  15. JONES A. M., LANGLEY F. A. Aortic sinus aneurysms. Br Heart J. 1949 Oct;11(4):325–341. doi: 10.1136/hrt.11.4.325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Layman T. E., January L. E. Mycotic left ventricular aneurysm involving the fibrous atrioventricular body. Am J Cardiol. 1967 Sep;20(3):423–427. doi: 10.1016/0002-9149(67)90066-5. [DOI] [PubMed] [Google Scholar]
  17. Mershon J. C., Samuelson D. R., Layman T. E. Left ventricular "fibrous body" aneurysm caused by aspergillus endocarditis. Am J Cardiol. 1968 Aug;22(2):281–285. doi: 10.1016/0002-9149(68)90236-1. [DOI] [PubMed] [Google Scholar]
  18. Rothbaum D. A., Dillon J. C., Chang S., Feigenbaum H. Echocardiographic manifestation of right sinus of Valsalva aneurysm. Circulation. 1974 Apr;49(4):768–771. doi: 10.1161/01.cir.49.4.768. [DOI] [PubMed] [Google Scholar]
  19. Ryon D. S., Pastor B. H., Myerson R. M. Abscess of the myocardium. Am J Med Sci. 1966 Jun;251(6):698–705. [PubMed] [Google Scholar]
  20. SHELDON W. H., GOLDEN A. Abscesses of the valve rings of the heart, a frequent but not well recognized complication of acute bacterial endocarditis. Circulation. 1951 Jul;4(1):1–12. doi: 10.1161/01.cir.4.1.1. [DOI] [PubMed] [Google Scholar]
  21. Sutton R., Petch M., Parker J. Proceedings: Echocardiography in infective endocarditis. Br Heart J. 1976 Mar;38(3):312–312. [PubMed] [Google Scholar]
  22. Waldhausen J. A., Petry E. L., Kurlander G. J. Successful repair of subvalvular annular aneurysm of the left ventricle. N Engl J Med. 1966 Nov 3;275(18):984–987. doi: 10.1056/NEJM196611032751803. [DOI] [PubMed] [Google Scholar]
  23. Welton D. E., Young J. B., Raizner A. E., Ishimori T., Adyanthaya A., Mattox K. L., Chahine R. A., Miller R. R. Value and safety of cardiac catheterization during active infective endocarditis. Am J Cardiol. 1979 Dec;44(7):1306–1310. doi: 10.1016/0002-9149(79)90445-4. [DOI] [PubMed] [Google Scholar]

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