Ruptured Mitral Valve Kissing Abscess to Left Atrium in Course of Aortic Valve Endocarditis.

In patients with infective endocarditis affecting the aortic valve, a major complication may occur in a mechanism of direct extension of an infected jet of aortic regurgitation striking the ventricular surface of the anterior mitral leaflet. We present a 36-year-old male with infective endocarditis of the bicuspid aortic valve, who developed a secondary infection complicated by a Mitral valve leaflet kissing abscess.