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Case Reports
. 2005 Jun;91(6):790.
doi: 10.1136/hrt.2004.054361.

Severe mitral regurgitation caused by annular abscess fistulating into the left atrium

P-S Wong, H Yang, L H Ling
Case Reports

Severe mitral regurgitation caused by annular abscess fistulating into the left atrium

P-S Wong et al. Heart. 2005 Jun.
No abstract available

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Figures

Figure 1
Figure 1
Transthoracic parasternal long axis echocardiograms. (A) Suspected infective vegetation (arrows) attached to a flail posterior mitral leaflet. Ao, aortic root; LA, left atrium; LV, left ventricle; RVO, right ventricular outflow. (B) Anteriorly directed colour jet of mitral regurgitation.
Figure 2
Figure 2
Transoesophageal long axis echocardiograms. (A) Loculated abscess in the posterior mitral annulus (arrowheads). The presumed vegetation consisted of the posterior valve leaflet (thick arrow) attached to the detached roof of the abscess (slender arrows). (B) Severe regurgitation from the left ventricular to left atrial fistula created by rupture of the abscess.
Figure 3
Figure 3
Transoesophageal echocardiograms, four chamber view. (A) Mitral annular abscess seen “en-face” (arrowheads). RA, right atrium; RV, right ventricle. (B) Turbulent systolic colour flow within the abscess cavity.
See this image and copyright information in PMC

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