Pseudoaneurysm of the Mitral-Aortic Fibrosa in the Absence of Valvulitis

Abstract

The mitral-aortic intervalvular fibrosa (MAIVF) is the thin avascular fibrous structure located between the left side of the non-coronary cusp, the left coronary cusp and the anterior mitral leaflet. MAIVF pseudoaneurysm typically results as a complication of endocarditis, aortic valve surgery or chest trauma. We present a case of an incidental MAIF pseudoaneurysm in a 68-year female with a history of rheumatic fever without involvement of the mitral apparatus. We also discuss the presentation, evaluation and management of this rather rare valvular disorder.

Surgical treatment for accidentally discovered pseudoaneurysm of the mitral-aortic intervalvular fibrosa with bicuspid aortic valve, ascending aortic aneurysm, and myocardial ischemia: a case report

“…Additionally, AR and BAV were described as other causal factors. Chandrakumar et al [9] reported P-MAIVF without valvulitis as a rare case. Recently, Spampinato et al [10] reported P-MAIVF after minimally invasive mitral valve repair.…”