Congenital left ventricular subaortic aneurysm in an asymptomatic child

Blasco, Pedro Betrián; Torres, Rebeca Sarrat; Brotons, Dimpna Albert; Pijuan-Domenech, Antònia; Ferrer, Jaume; Comas, Josep Girona

doi:10.1016/j.ijcard.2008.12.171

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Small, asymptomatic pseudoaneurysms may be managed by close monitoring (Cases 5 and 9–11) 5,9 , while larger, growing or obstructive pseudoaneurysms may require surgical resection. When associated with other cardiac defects that require surgical intervention, pseudoaneurysms should be resected at the time of the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with congenital pseudoaneurysm of the MAIVF are typically asymptomatic and are diagnosed incidentally during routine prenatal ultrasound evaluation or postnatal transthoracic echocardiography in the setting of an otherwise normal heart, or during evaluation of an associated cardiac defect. Congenital MAIVF pseudoaneurysms have been identified in isolation in cases with otherwise normal cardiac anatomy (Cases 3 and 9-11) 8,9 but can also be associated with congenital heart disease, such as a VSD (Cases 4, 7 and 8) 5 , tetralogy of Fallot (Case 6) and complex single-ventricle cardiac disease (Cases 1 and 2). Additionally, one case had coronary artery dilation of unknown etiology (Case 5).…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Pseudoaneurysm of this area is rare and has been reported mostly in adult patients following trauma, cardiac surgery or endocarditis 1,3 . Several case studies have described its occurrence in children following cardiac surgery 4,5 or endocarditis 6,7 , with few case reports describing the congenital nature of these pseudoaneurysms 5,6,[8][9][10] . Prenatal diagnosis of pseudoaneurysm of the MAIVF indicates that this abnormality can be congenital.…”

Section: Etiology and Pathophysiologymentioning

confidence: 99%

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Prenatally diagnosed pseudoaneurysm of mitral–aortic intervalvular fibrous area

Hogan

Punn

Dean

et al. 2022

Ultrasound in Obstet & Gyne

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The mitral-aortic intervalvular fibrosa (MAIVF) is an avascular, fibrous structure that provides continuity between the anterior leaflet of the mitral valve and the aortic valve. Pseudoaneurysm of the MAIVF is rare and has been most commonly described in adults and, more rarely, in children following cardiac surgery or endocarditis. Few reports have been published on cases with congenital pseudoaneurysm of the MAIVF. Here, we describe five cases of congenital pseudoaneurysm of the MAIVF identified prenatally and an additional six cases diagnosed postnatally. This is an unusual finding of varying clinical significance, which can be isolated or associated with complex congenital heart disease but, importantly, can be identified and monitored in the fetus.

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

Section: Etiology and Pathophysiologymentioning

confidence: 99%

See 1 more Smart Citation

Prenatally diagnosed pseudoaneurysm of mitral–aortic intervalvular fibrous area

Hogan

Punn

Dean

et al. 2022

Ultrasound in Obstet & Gyne

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The chance finding of echocardiographic complications of infective endocarditis

Pugliatti¹,

Gregorio²,

Patanè³

2012

International Journal of Cardiology

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A Review on the Surgical Management of Subvalvular Aneurysm

George

Chowdhury

Singh

et al. 2020

World J Pediatr Congenit Heart Surg

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The present perspective is a synthesis of published investigations in the setting of subvalvular aortic aneurysms. We identified 75 investigations and reviewed the clinical presentation, diagnostic modalities used, surgical techniques employed, and their outcomes. Clinical presentation, radiographic findings, transthoracic and transesophageal echocardiography, electrocardiogram-gated computerized tomography, and magnetic resonance imaging provided the diagnostic information and were used to define the disease entity before surgery. In this article, we have attempted to address several issues concerning establishment of diagnosis, varied clinical presentation, and their management. We submit that an increased appreciation of this disease entity will contribute to improved surgical management.

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Congenital left ventricular subaortic aneurysm in an asymptomatic child

Cited by 3 publications

References 5 publications

Prenatally diagnosed pseudoaneurysm of mitral–aortic intervalvular fibrous area

Prenatally diagnosed pseudoaneurysm of mitral–aortic intervalvular fibrous area

The chance finding of echocardiographic complications of infective endocarditis

A Review on the Surgical Management of Subvalvular Aneurysm

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