Key result
A 75-year-old man with infective endocarditis and unusual aorto-mitral discontinuity was successfully treated with double valve replacement and discharged 26 days after surgery.
Case Report (n=1)
No
Multimodality imaging, particularly real-time three-dimensional transesophageal echocardiography, is highly useful for identifying and planning surgical intervention for rare complications of infective endocarditis such as aorto-mitral discontinuity.
May guide individualized endocarditis management; leaves open validation in prospective cohorts.
Aorto-mitral discontinuity is considered a relatively rare complication of infective endocarditis, usually requiring invasive surgical procedures, including double valve replacement in addition to aortic root replacement/repair. In the present case report, images were produced using transthoracic echocardiograms and transesophageal echocardiograms, which may assist in the planning of surgical procedures. The images captured using real-time three-dimensional transesophageal echocardiograms revealed aorto-mitral discontinuity and a perforated mitral valve aneurysm of the anterior leaflet.
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Nakagawa et al. (2019) conducted a case report in Infective endocarditis with aorto-mitral discontinuity (n=1). Aortic and mitral valve replacement with anterior mitral commissure plasty was evaluated on Clinical outcome post-surgery. A 75-year-old man with infective endocarditis and unusual aorto-mitral discontinuity was successfully treated with double valve replacement and discharged 26 days after surgery.
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