Abstract
This report describes a patient with a small aneurysm of the left ventricle which involved the fibrous atrioventricular body and was caused by aspergillus endocarditis. Aneurysms of the fibrous atrioventricular ring are distinctly different from other types of aneurysms. The majority have been confined to young adult African Negroes. The etiology is uncertain, although a structural weakness in the atrioventricular ring has been postulated. In our patient fungal endocarditis (Aspergillus terreus) occurred after open heart surgery for mitral regurgitation and involved the mitral valvular leaflets. Erosion into the subjacent atrioventricular ring resulted in the mycotic aneurysm.
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