Abstract

ALANIS-NARANJO, José Martín  and  RIVERA-HERMOSILLO, Julio César. Streptococcus gordonii infective endocarditis complicated with perforated mitral valve aneurysm and aortic valve perforation: a case report and literature review. Cardiovasc. metab. sci [online]. 2023, vol.34, n.4, pp.169-175.  Epub Apr 15, 2024. ISSN 2954-3835.  https://doi.org/10.35366/113866.

Mitral valve aneurysm (MVA) is a rare complication of infective endocarditis (IE), and it requires surgical intervention as soon as possible when it ruptures. Streptococcus gordonii is an extremely rare cause of IE complicated with abscesses, fistulas, aneurysms, or valve perforations. We describe a case of native valve IE complicated by a perforated MVA and aortic valve perforation caused by Streptococcus gordonii, along with a literature review. This case highlights the importance of identifying IE complications through the echocardiogram. Therefore, it is mandatory to evaluate all patients with streptococcal bloodstream infections with a high risk of IE to rule out its complications and provide prompt surgical intervention if necessary.

Keywords : infective endocarditis; perforated aneurysm; mitral valve aneurysm; aortic valve endocarditis; valve replacement surgery; Streptococcus gordonii.

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