Absceso de la confluencia mitroaórtica y perforación de la válvula mitral en un paciente con endocarditis por Brucella

Clinical microbiological case: large endocardial vegetation in an Italian woman

“…This may explain the high fatality rate from brucella endocarditis [11]. Native aortic valve endocarditis most commonly leads to perivalvular extension [12]. The direction of extension depends on the aortic cusp infected.…”

“…The direction of extension depends on the aortic cusp infected. Extension from the non‐coronary cusp is to the posterior portion of the intraventricular septum, which can lead to conduction abnormalities [12].…”