Skip to main content
SpringerLink
Log in

Aortic valve aneurysm associated with infective endocarditis: case report and review of literature

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Although there are several mitral valve aneurysm reports, studies on aortic valve aneurysm are extremely rare. This paper describes an uncommon case of a large saccular aortic valve aneurysm associated with infective endocarditis. A 37-year-old man was hospitalized in our hospital with fever and dyspnea. Echocardiography found severe aortic regurgitation and aortic valve aneurysm of the non-coronary cusp going in and out of the left ventricular chamber. Blood cultures grew Streptococcus viridance. Therefore, the patient underwent aortic valve replacement. During the operation, we observed a 30 × 20 mm ruptured aneurysm that arose from the non-coronary cusp. The aortic valve containing the aneurysm was resected and replaced with a mechanical heart valve. Histopathological examination of the aortic valve aneurysm showed active inflammatory changes. Infective endocarditis was considered to be the cause of this aortic valve aneurysm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Edwards JE. Mitral insufficiency secondary to aortic valvular bacterial endocarditis. Circulation. 1972;46:623–6.

    Article  CAS  PubMed  Google Scholar 

  2. Morimoto K, Matsuzaki M, Anno Y, Tanimoto Y, Kobayashi Y, Takashiba K, et al. Echocardiographic assessment of aneurysm of the aortic valve caused by infective endocarditis. Jpn Circ J. 1989;53:819–24.

    Article  CAS  PubMed  Google Scholar 

  3. Kinoshita N, Ishiwata S, Nishiyama S, Kuwayama M, Iwase T, Nakanishi S, et al. Clinical analysis of infective endocarditis with aneurismal formation of the mitral or aortic valve. J Cardiol. 1997;30:79–87 (in Japanese, abstract in English).

    CAS  PubMed  Google Scholar 

  4. Fujiwara S, Arita M, Umemoto M, Ueno Y, Kuchii M, Nishino I, et al. A case of infective endocarditis with aortic ring abscess and aneurysm of the aortic valve. Shinzo. 1987;19:602–9 (in Japanese).

    Google Scholar 

  5. Aokage K, Senoo Y, Yoshida H, Ooba O, Shiote A, Uchida T. A case of infective endocarditis with the mycotic aortic valve aneurysm. Rinsho Kyobu Geka Jpn Ann Thorac Surg. 1989;9:305–8 (in Japanese, abstract in English).

    CAS  Google Scholar 

  6. Nyui S, Inoue S, Saito T, Nakase A. Unruptured aneurysm of the right coronary cusp. Jpn Circ J. 1991;55:695–8.

    Article  CAS  PubMed  Google Scholar 

  7. Plein D, Van Camp G, Derluyn M, Vandenbosshe JL. Aortic valve aneurysm after acute endocarditis. Clin Cardiol. 1997;20:969–70.

    Article  CAS  PubMed  Google Scholar 

  8. Nakayama M, Isobe F, Yutani C. Aneurysmal pouch on left coronary cusp accompanied by bacterial endocarditis. Jpn J Thorac Cardiovasc Surg. 1998;46:667–70.

    Article  CAS  PubMed  Google Scholar 

  9. De Castro S, Adrisio R, Pellicia A, Papetti F, Fedele F, Pandian NG, et al. Perforated aneurysms of left side valves during active infective endocarditis complicating hypertrophic obstructive cardiomyopathy. Eur J Echocardiogr. 2002;3:100–2.

    Article  PubMed  Google Scholar 

  10. Miyazu O, Matsumoto N, Yamauchi M, Takenobu H, Nakayama M, Watanabe Y, et al. A huge aortic valve aneurysm originating from infectious endocarditis. St Marian Med J. 2003;31:273–8.

    Google Scholar 

  11. Asami K, Ohmi M, Nakame T, Shimizu M, Tzuka F, Kuroha M, et al. Aortic cusp aneurysm. A case report. Shinzo. 2003;35:573–6 (in Japanese).

    Google Scholar 

  12. Scholte AJ, Agema WR, Poldermans D, Somer ST, Holman ER, van der Wall EE, et al. Aortic valve regurgitation due to cusp aneurysm: a case report. Eur J Echocardiogr. 2004;5:231–6.

    Article  CAS  PubMed  Google Scholar 

  13. Matsukuma S, Eishi K, Yamachika S, Hayashi T, Hazama S, Yamaguchi H, et al. Saccular aneurysm of the aortic cusp associated with discrete subaortic stenosis. Ann Thorac Surg. 2005;80:2364–5.

    Article  PubMed  Google Scholar 

  14. Naraoka S, Inoue S, Nakajima T, Niida Y. Aneurysm of the aortic cusp: report of a case. Kyobu Geka Jpn J Thorac Surg. 2010;63:1164–7 (in Japanese, abstract in English).

    Google Scholar 

  15. Azvedo O, Ferreira F, Guardado J, Duraes C, Quelhas I, Pereira A, et al. Mitral and aortic valve aneurysms secondary to infective endocarditis.: impressive images of a rare echocardiographic findings. Eur J Echocardiogr. 2010;11:E28.

    Google Scholar 

  16. Sugawara H, Matsumoto T, Hotta H, Yoshida D, Kato N, Ohata J, et al. Aortic valve aneurysm responsible for acute congestive heart failure and histological findings: a case report. Jpn Coll Cardiol. 2014;10:100–3.

    Google Scholar 

  17. Saphir O, Leroy EP. True aneurysms of the mitral valve in subacute bacterial endocarditis. Am J Pathol. 1948;24:83–95.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Alpaslan M, Evick D, Onrat E. Aortic valve aneurysm: a novel cardiac manifestation of rheumatoid arthritis? J Am Soc Echocardiogr. 2001;14:1137–8.

    Article  CAS  PubMed  Google Scholar 

  19. Yamada S, Shindo T, Sawada Y, Kurihara T, Narita K, Asagoe K, et al. Huge aneurysm of aortic coronary cusp and valsalva sinus secondary to Behçet’s disease. J Jpn Soc Int Med. 2000;89:117–9 (in Japanese).

    Google Scholar 

  20. Nicholas M, Szary MD, Firas H, Al-Kawas MD. Complication of endoscopic retrograde cholangiography: how to avoid and manage them. Gastroenterol Hepatol. 2013;9:496–504.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan

    Hirokazu Minamimura, Takumi Ishikawa, Tadahiro Murakami & Shinsuke Kotani

Authors
  1. Hirokazu Minamimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takumi Ishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tadahiro Murakami
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shinsuke Kotani
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hirokazu Minamimura.

Ethics declarations

Conflict of interest

The authors have declared that no conflict of interest exists.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Minamimura, H., Ishikawa, T., Murakami, T. et al. Aortic valve aneurysm associated with infective endocarditis: case report and review of literature. Gen Thorac Cardiovasc Surg 65, 408–414 (2017). https://doi.org/10.1007/s11748-016-0681-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-016-0681-9

Keywords

Search

Navigation