Pseudoaneurysms of the mitral-aortic intervalvular fibrosa: Survival without reoperation

Gin, Amy; Hong, Helen; Rosenblatt, Alberto; Black, Michael D.; Ristow, Bryan; Popper, Robert W.

doi:10.1016/j.ahj.2010.09.013

Cited by 22 publications

(21 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…7 Till date, there are very few cases reported in literature wherein patients with P-MAIVF have been managed conservatively for years after initial diagnosis. 4,5 In most of these cases, the pseudoaneurysms were small and not associated with any complications. In our case, the P-MAIVF was large, although unruptured and not causing any significant compression of surrounding vital structures.…”

Section: Discussionmentioning

confidence: 89%

“…2,3 There are very few cases reported in literature wherein patients with P-MAIVF have been managed conservatively for years after initial diagnosis. 4,5 We report a case of large P-MAIVF in a patient who was treated for infective endocarditis of a native aortic valve, and was managed conservatively for 3 years with an uncomplicated course,and a small increase in the size of the pseudoaneurysm.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Large unruptured Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa-Managed Conservatively for Three Years: Case Report and Review of Literature

Beig¹,

Bashir²,

Rather³

et al. 2016

JCDR

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Large unruptured Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa-Managed Conservatively for Three Years: Case Report and Review of Literature

Beig¹,

Bashir²,

Rather³

et al. 2016

JCDR

View full text Add to dashboard Cite

show abstract

“…Patients with multiple previous surgeries, where the risk of surgery is higher than the benefit, are likely candidates for conservative management. [9,10] But more often surgery is the choice of treatment, as complications are the common presentations. Rupture into the atria or pericardium may be an indication of emergency surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery

et al. 2013

View full text Add to dashboard Cite

Pseudoaneurysm of mitral-aortic intervalvular fibrosa (MAIVF) is a rare complication associated with aortic and/or mitral valve surgery complicated by infective endocarditis. We report pseudoaneurysm of MAIVF in a young adult without overt cardiac disease or previous cardiac surgery. The patient had a rare combination of pseudoaneurysm of MAIVF impinging on anterior mitral leaflet causing moderate mitral regurgitation, right sinus of Valsalva aneurysm extending into interventricular septum, and left main coronary artery aneurysm. Transesophageal echocardiography helped in confirming the lesions, delineating the anatomy of all the lesions, and assessing the adequacy of surgical repair.

show abstract

“… 7) On the other hand, there have been reports of uneventful midterm-up to 5 years from diagnosis-follow up of uncomplicated MAIVF-Ps. 8) 9) Generally, a watchful waiting approach with serial imaging and referral for operation should complications or rapid expansion ensue, may be valid for asymptomatic patients with high operative risk.…”

Section: Discussionmentioning

confidence: 99%

Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm

Bonou

Papadimitraki

Vaina

et al. 2015

J Cardiovasc Ultrasound

View full text Add to dashboard Cite

Pseudoaneurysm of the mitral aortic intervalvular fibrosa (MAIVF-P) usually ensues as a complication of endocarditis or aortic valve surgery. When large, symptomatic or related to complications (rupture, compression of adjacent structures, embolic events, mitral regurgitation or heart failure) it warrants surgical excision. The natural course of uncomplicated/asymptomatic MAIVF-Ps is largely unknown since most patients are offered surgery. Increased surgical risk imposed by repeat operations in the majority of these patients is an important consideration and conservative treatment should not be excluded in selected cases. Herein we present two illustrative cases of MAIVF-P manifesting with significant arrhythmogenesis and complex endocarditis respectively. Both patients were managed conservatively. By briefly reviewing the existing literature, we discuss important diagnostic and therapeutic issues for MAIVF-Ps. To our knowledge complex ventricular arrhythmia has not been previously described as a prominent manifestation of MAIVF-P.

show abstract

Pseudoaneurysms of the mitral-aortic intervalvular fibrosa: Survival without reoperation

Cited by 22 publications

References 15 publications

Large unruptured Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa-Managed Conservatively for Three Years: Case Report and Review of Literature

Large unruptured Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa-Managed Conservatively for Three Years: Case Report and Review of Literature

Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery

Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm

Contact Info

Product

Resources

About