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European Journal of Cardio-Thoracic Surgery 53 (2018) 886 IMAGES IN CARDIO-THORACIC SURGERY doi:10.1093/ejcts/ezx434 Advance Access publication 27 November 2017 Cite this article as: Kim D, Shim CY, Kim YJ, Chang B-C. Complicated infective endocarditis on mitral annular calcification with left ventricular pseudoaneurysm. Eur J Cardiothorac Surg 2018;53:886. Complicated infective endocarditis on mitral annular calcification with left ventricular pseudoaneurysm a a, b c Darae Kim ,Chi YoungShim *, Young Jin Kim and Byung-Chul Chang Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Radiology, Yonsei University College of Medicine, Seoul, Korea Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea * Corresponding author. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea. Tel: +82-2-22288453; fax: +82-2-22277732; e-mail: cysprs@yuhs.ac (C.Y. Shim). Received 2 August 2017; received in revised form 5 September 2017; accepted 21 September 2017 Keywords: Infective endocarditis • Mitral annular calcification • Pseudoaneurysm Figure 1: Transoesophageal echocardiography of an 80-year-old man showing vegetations attached to mitral annular calcification with posterior mitral valve prolapse (A and B). After 3 weeks of antibiotic treatment, an echo-free space with to-and-fro flow (C) was revealed, corresponding to subannular pseudoaneurysm along the mitral annular calcification, in computed tomography (D and E) and during surgery (F). The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. Downloaded from https://academic.oup.com/ejcts/article-abstract/53/4/886/4666447 by Ed 'DeepDyve' Gillespie user on 16 March 2018
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Apr 1, 2018
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