“…Infrequently, these lesions have also been described following chest trauma, 45,46 bacterial/fungal endocarditis, prosthetic valve endocarditis, cardiac tuberculosis, and rheumatic carditis. 8 -11,15,16,20,21,33,36,40,41,46,49 -52,54,55 In cases associated with infective endocarditis, the infection perforates the zone of fibrous continuity between the mitral and aortic valve causing seepage of blood into the epicardial wedge overlying the fibrosa, thereby producing a false aneurysm between the aorta and the left atrium. 8 -11 In the published literature, subvalvular aortic aneurysms as a complication of infective endocarditis have been detected in up to 10% of patients undergoing valve replacement for aortic valve endocarditis.…”