Unusual complication after infective endocarditis: pseudo-aneurysm of the left ventricle

A 37-year-old female, with a history of drug abuse (including cocaine), was admitted with fever and malaise. Transoesophageal echocardiography demonstrated infective endocarditis of the native mitral valve, and the patient underwent antibiotic treatment for 6 weeks. On 1 year follow-up trans-thoracic echocardiography, a large cavity with flow adjacent to the left ventricle was seen …