A mitral-aortic intervalvular fibrosa false aneurysm in a patient without overt heart disease

Bolcal, Cengiz; Baysan, Oben; Doğancı, Suat; Uzun, Mehmet; Demirkılıç, Ufuk; Tatar, Harun

doi:10.1016/s0828-282x(07)70773-0

Cited by 11 publications

(9 citation statements)

References 7 publications

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“…The two most common etiologies of P-MAIVF are infective endocarditis and aortic valve surgery [1]. Congenital pseudoaneurysm of MAIVF in adults is very rare with a few case reported in literature [2][3][4][5]. In our case, no probable etiologic factor could be identified.…”

Section: Introductionmentioning

confidence: 66%

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Concurrent congenital pseudoaneurysm of mitral-aortic intervalvular fibrosa and left sinus of Valsalva aneurysm

Manuel¹

2019

JCRM

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Either the pseudoaneurysm of mitral-aortic intervalvular fibrosa or the aneurysms of Valsalva are rare cardiac conditions. Concomitant diagnosis in the same patient is extremely rare with only one case report. Herein, we described an extremely rare case of concomitant pseudoaneurysm of mitral-aortic intervalvular fibrosa and aneurysm of left sinus of Valsalva in 21-year-old black man admitted with new-onset of heart failure (NYHA class III) diagnosed by transesophageal echocardiography. Despite medical therapy optimization for heart failure, the patient died waiting for cardiac surgery. Regarding the case, we discussed possible etiology, clinical presentation and the role of echocardiography in the diagnosis and surgical approach of this very rare association.with enalapril and furosemide, and antibiotic, and was referred to Angola. At admission, the patient reported a slight improvement of cough and peripheral edema, maintaining, however, the remaining symptoms He reported no fever, thoracic trauma, previous cardiac surgery or syncope.Physical examination revealed a eupneic patient with a supine blood pressure of 100/60 mmHg, a pulse rate 106 beats/min, regular rhythm. Cardiac auscultation revealed grade 3/6 pansystolic murmur, which was audible in the apex, radiating to the axila. Pulmonary auscultation revealed bilateral basal rales. The remaining physical examination was unremarkable. Complementary diagnostic exams included routine laboratory tests,which revealed no significant abnormalities; plan chest X ray showed cardiomegaly and pulmonary interstitial edema; and 12-lead electrocardiography revealed a sinus rhythm with a heart rate of 90 beats/ min, and signs of left atrial and ventricular hypertrophy, with no other alterations.Two-dimensional transthoracic echocardiography (TTE) revealed an echolucent area adjacent to the aortic valve that was freely com-Correspondence to: Valdano Manuel -Clínica Girassol, Revolução de Outubro Avenue, second floor. 9. Joshi SS, Jagadeesh AM, Furtado A, Bhat S (2013) Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery. Ann Card Anaesth 16: 40-43. [Crossref] 10. Waldhausen JA, Petry EL, Kurlander GJ (1966) Successful repair of subvalvular annular aneurysm of the left ventricle. N Engl J Med 275: 984-987. [Crossref]

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Section: Introductionmentioning

confidence: 66%

“…Infective endocarditis, aortic valve surgery are the two most common etiologies [1]. Rarely, it is congenital in origin [2][3][4][5] or due to blunt chest trauma [6]. Clinically, it is manifested by symptoms and signs of infective endocarditis, followed by heart failure or dyspnea and chest pain due to compression of coronary vessels [1].…”

Section: Introductionmentioning

confidence: 99%

Concurrent congenital pseudoaneurysm of mitral-aortic intervalvular fibrosa and left sinus of Valsalva aneurysm

Manuel¹

2019

JCRM

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“…7 Pseudoaneurysms of the mitral-aortic intervalvular fibrosa are, mostly an acquired form of disease, secondary to aortic or mitral valve endocarditis, cardiac surgery, or blunt trauma. [2][3][4]5,8 Rare ''congenital'' cases have been described. In our series, three of the four patients had previous causative events, endocarditis or valvular surgery, but one patient had no previous disease or aetiological episode in his clinical history.…”

Section: Discussionmentioning

confidence: 99%

“…1 This is a very dense fibrous area apparently intact and resistant to dissection, but that might be disrupted by infection, surgery, and trauma, leading to the formation of a pseudoaneurysm of the mitral-aortic intervalvular fibrosa. [2][3][4][5] Rarely, no aetiology can be found and a congenital origin has been claimed. This is, however, a very rare anomaly, seldom described in children.…”

Section: T He Mitral-aortic Intervalvular Fibrosa Makesmentioning

confidence: 99%

Mitro-aortic aneurysms in children: single-centre experience and review of the literature

et al. 2013

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“…7 Clinically, patients with a pseudoaneurysm of the MAIVF may be asymptomatic. 8,9 Once the pseudoaneurysm has developed, it is prone to rupture into the pericardium, resulting in fatal cardiac tamponade. 10 In addition, patients may have angina pectoris due to compression of the left coronary artery by the pseudoaneurysm of the MAIVF.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa in a Patient After Radio Frequency Catheter Ablation of Atrial Fibrillation

Han

et al. 2009

Journal of Ultrasound in Medicine

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A mitral-aortic intervalvular fibrosa false aneurysm in a patient without overt heart disease

Cited by 11 publications

References 7 publications

Concurrent congenital pseudoaneurysm of mitral-aortic intervalvular fibrosa and left sinus of Valsalva aneurysm

Concurrent congenital pseudoaneurysm of mitral-aortic intervalvular fibrosa and left sinus of Valsalva aneurysm

Mitro-aortic aneurysms in children: single-centre experience and review of the literature

Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa in a Patient After Radio Frequency Catheter Ablation of Atrial Fibrillation

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