case_images: PMC9788890_01
case_images: Echocardiogram shows anterior mitral valve leaflet aneurysm.
case_images: CRIC2022-3111032.001.jpg
case_images: PMC9788890_01_CRIC2022-3111032.001.jpg
case_images: fig1
case_images: Patient had been reevaluated 4 weeks later, finding worsened aortic regurgitation (3 + /4+) with regurgitant flow directed to the anterior MV leaflet and confirming the vegetation-like formation on A2 (suspecting now a pseudoaneurysm) with worsened MV regurgitation (3 + /4+) (Figures 1 and 2).
case_images: (a) MV aneurysm. (b) Aneurysm-related MV regurgitation.
case_images: CRIC2022-3111032.002.jpg
case_images: PMC9788890_01_CRIC2022-3111032.002.jpg
case_images: fig2
case_images: Patient had been reevaluated 4 weeks later, finding worsened aortic regurgitation (3 + /4+) with regurgitant flow directed to the anterior MV leaflet and confirming the vegetation-like formation on A2 (suspecting now a pseudoaneurysm) with worsened MV regurgitation (3 + /4+) (Figures 1 and 2).
case_images: Aneurysm on the atrial aspect of the anterior MV leaflet (A2 scallop).
case_images: CRIC2022-3111032.003.jpg
case_images: PMC9788890_01_CRIC2022-3111032.003.jpg
case_images: fig3
case_images: A2, with no signs of rupture (Figure 3); apart from that, anterior and posterior MV leaflets were normal. Aortic and mitral valves have been replaced with biological prosthesis (Carpentier-Edwards PERIMOUNT Magna Ease 25 mm and Medtronic Hancock
case_images: Anterior MV leaflet: slide.
case_images: CRIC2022-3111032.004.jpg
case_images: PMC9788890_01_CRIC2022-3111032.004.jpg
case_images: fig4
case_images: Microscopic evaluation of MV leaflet demonstrated acute IE, important fibrinous exudation and leukocytosis, inflammatory granulation tissue, myxoid degeneration foci, and fibrosis and adipose metaplasia (Figure 4).