{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:13:10Z","timestamp":1772165590205,"version":"3.50.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:00:00Z","timestamp":1705276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:00:00Z","timestamp":1705276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Mitral valve aneurysm (MVA) is characterized by a saccular outpouching of the mitral leaflet, and it represents a rare condition typically associated with aortic valve endocarditis. Three-Dimensional Transesophageal Echocardiography (3D-TEE) serves as an effective tool for detecting the presence of MVA and its potential complications. In this report, we present a case involving a young man with striking images of bicuspid aortic valve endocarditis complicated by an aortic root abscess and multiple perforated mitral valve aneurysms, diagnosed using 3D TEE. This case suggests the uncommon coexistence of Marfan like morphotype, bicuspid aortic valve, and infective endocarditis as a triple mechanism in the occurrence of MVA. It underscores the significance of early and accurate imaging diagnosis for facilitating prompt surgical intervention.<\/jats:p>","DOI":"10.1186\/s12872-024-03715-3","type":"journal-article","created":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T23:10:53Z","timestamp":1705273853000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rare complications of infective endocarditis in marfan-like morphotype: diagnosis of multiple mitral valve aneurysms and aortic root abscess using three-dimensional transesophageal echocardiography"],"prefix":"10.1186","volume":"24","author":[{"given":"Meriem","family":"Boumaaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Reda","family":"Lahjouji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raid","family":"Faraj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najat","family":"Mouine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iliyasse","family":"Asfalou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aatif","family":"Benyass","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,15]]},"reference":[{"issue":"1","key":"3715_CR1","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1148\/radiol.2020200004","volume":"296","author":"R Rajagopal","year":"2020","unstructured":"Rajagopal R, Jagia P. Anterior Mitral Leaflet Aneurysm. Radiology. 2020;296(1):23. https:\/\/doi.org\/10.1148\/radiol.2020200004. Epub 2020 Apr 21. PMID: 32315269.","journal-title":"Radiology"},{"issue":"11","key":"3715_CR2","doi-asserted-by":"publisher","first-page":"e11644","DOI":"10.7759\/cureus.11644","volume":"12","author":"ME Werner","year":"2020","unstructured":"Werner ME, Riezebos RK, Kuipers RS. A perforated mitral valve aneurysm: a rare but serious complication of aortic valve endocarditis resulting from a regurgitant jet lesion. Cureus. 2020;12(11):e11644. https:\/\/doi.org\/10.7759\/cureus.11644. PMID:33376655;PMCID:PMC7755663.","journal-title":"Cureus"},{"key":"3715_CR3","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1007\/s10554-014-0365-4","volume":"30","author":"A Guler","year":"2014","unstructured":"Guler A, Karabay C, Gursoy O, et al. Clinical and echocardiog- raphic evaluation of mitral valve aneurysms: a retrospective, single center study. Int J Cardiovasc Imaging. 2014;30:535\u201341.","journal-title":"Int J Cardiovasc Imaging"},{"issue":"1","key":"3715_CR4","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1186\/s12872-016-0413-1.","volume":"16","author":"T Konishi","year":"2016","unstructured":"Konishi T, Funayama N, Yamamoto T, Hotta D, Kikuchi K, Ohori K, Nishihara H, Tanaka S. Severe mitral regurgitation due to mitral leaflet aneurysm diagnosed by three-dimensional transesophageal echocardiography: a case report. BMC Cardiovasc Disord. 2016;16(1):234. https:\/\/doi.org\/10.1186\/s12872-016-0413-1. PMID:27876001;PMCID:PMC5120478.","journal-title":"BMC Cardiovasc Disord"},{"key":"3715_CR5","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1046\/j.1445-5994.2003.00477.x","volume":"33","author":"K Kathir","year":"2003","unstructured":"Kathir K, Dunn RF. Congenital obstructive mitral valve aneurysm. Int Med J. 2003;33:541\u20132.","journal-title":"Int Med J"},{"key":"3715_CR6","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1016\/0002-9149(92)90911-H","volume":"69","author":"DG Cziner","year":"1992","unstructured":"Cziner DG, Rosenzweig BP, Katz ES, et al. Transesophageal versus transthoracic echocardiography for diagnosing mitral valve perforation. Am J Cardiol. 1992;69:1495\u20137.","journal-title":"Am J Cardiol"},{"issue":"5","key":"3715_CR7","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1536\/ihj.23-121","volume":"64","author":"Y An","year":"2023","unstructured":"An Y, Chen K, Nie F. Echocardiography diagnosis of mitral valve aneurysm complicated with infective endocarditis. Int Heart J. 2023;64(5):959\u201362. https:\/\/doi.org\/10.1536\/ihj.23-121. (PMID: 37778999).","journal-title":"Int Heart J"},{"issue":"1","key":"3715_CR8","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1213\/ANE.0b013e318239c4d8","volume":"114","author":"MM Stechert","year":"2012","unstructured":"Stechert MM, Pletcher JR, Tseng EE, et al. Echo rounds: Aneurysm of the anterior mitral valve. Anesth Analg. 2012;114(1):86\u20138.","journal-title":"Anesth Analg"},{"issue":"1","key":"3715_CR9","doi-asserted-by":"publisher","first-page":"E24","DOI":"10.1111\/echo.12356","volume":"31","author":"SK Vijay","year":"2014","unstructured":"Vijay SK, Tiwari BC, Misra M, Dwivedi SK. Incremental value of three- dimensional transthoracic echocardiography in the assessment of ruptured aneurysm of anterior mitral leaflet. Echocardiography. 2014;31(1):E24\u20136.","journal-title":"Echocardiography"},{"key":"3715_CR10","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1046\/j.1540-8175.2003.03074.x","volume":"20","author":"M Vieira","year":"2003","unstructured":"Vieira M, Pomerantzeff P, Pillco L, et al. Conservative surgical treatment of mitral valve aneurysm secondary to aortic valve endocarditis. Echocardiography. 2003;20:435\u20138.","journal-title":"Echocardiography"},{"key":"3715_CR11","first-page":"263","volume":"37","author":"O Gulmez","year":"2009","unstructured":"Gulmez O, Sade L, Yildirir A, et al. Mitral valve aneurysm asso- ciated with aortic valve regurgitation. Arch Turk Soc Cardiol. 2009;37:263\u20135.","journal-title":"Arch Turk Soc Cardiol"},{"key":"3715_CR12","doi-asserted-by":"publisher","unstructured":"Sousa MJ, Alves V, Cabral S, Antunes N, Pereira LS, Oliveira F, Silveira J, Torres S. Mitral valve aneurysm: A serious complication of aortic valve endocarditis. Rev Port Cardiol. 2016;35(11):621.e1\u2013621.e5. English, Portuguese. doi: https:\/\/doi.org\/10.1016\/j.repc.2016.02.006. Epub 2016 Oct 17. PMID: 27765478.","DOI":"10.1016\/j.repc.2016.02.006"},{"issue":"26","key":"3715_CR13","doi-asserted-by":"publisher","first-page":"2466","DOI":"10.1056\/NEJMoa1112843","volume":"366","author":"DH Kang","year":"2012","unstructured":"Kang DH, Kim YJ, Kim SH, et al. Early surgery versus conventional treatment for infective endocarditis. N Engl J Med. 2012;366(26):2466\u201373.","journal-title":"N Engl J Med"},{"issue":"19","key":"3715_CR14","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.12659\/AJCR.909922","volume":"28","author":"M Moretti","year":"2018","unstructured":"Moretti M, Buscaglia A, Senes J, Tini G, Brunelli C, Bezante GP. Anterior mitral valve aneurysm is an uncommon complication of aortic valve infective endocarditis: a case report. Am J Case Rep. 2018;28(19):1146\u201351. https:\/\/doi.org\/10.12659\/AJCR.909922. PMID:30262801;PMCID:PMC6180919.","journal-title":"Am J Case Rep"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-024-03715-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12872-024-03715-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-024-03715-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T11:03:15Z","timestamp":1705316595000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-024-03715-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,15]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3715"],"URL":"https:\/\/doi.org\/10.1186\/s12872-024-03715-3","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3668321\/v1","asserted-by":"object"}]},"ISSN":["1471-2261"],"issn-type":[{"value":"1471-2261","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,15]]},"assertion":[{"value":"26 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"51"}}