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European Journal of Echocardiography Advance Access originally published online on May 13, 2008
European Journal of Echocardiography 2008 9(5):709-711; doi:10.1093/ejechocard/jen162
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Aortic regurgitation and unusual diastolic mitral regurgitation

Marek Konka*, Beata Kusmierczyk-Droszcz, Olgierd Wozniak and Piotr Hoffman

Department of Congenital Heart Disease, Institute of Cardiology, Alpejska 42, Warsaw 04-628, Poland

Received 17 January 2008; accepted after revision 13 April 2008; online publish-ahead-of-print 13 May 2008.

* Corresponding author. Tel: +48 (22) 3434457. E-mail address: mkonka{at}ikard.pl


  Abstract

In patients with infective endocarditis affecting the aortic valve, a secondary involvement of subaortic structures may occur in a mechanism of direct extension or as a result of an infected jet of aortic regurgitation striking the ventricular surfaces of the mitral-aortic intervalvular fibrosa and the anterior mitral leaflet (AML). We present a 29-year-old male with infective endocarditis of the bicuspid aortic valve, who developed a secondary infection of the subaortic tissues complicated by a perforation of the AML. Echocardiographic examination revealed not only systolic, but also diastolic mitral regurgitation.

Keywords: Endocarditis; Bicuspid aortic valve; Mitral valve leaflet perforation; Echocardiography


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