A rare case of mitro-aortic intervalvular fibrosa aneurysm evolving in the para-aortic cavity (original) (raw)
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Heart Views, 2012
Aneurysm of the mitral-aortic intervalvular fibrosa (MAIF) is an exceptionally rare but a potentially catastrophic complication, commonly following aortic valve endocarditis. We present a 24-year-old male presenting with acute onset dyspnea secondary to MAIF aneurysm rupturing into a left atrium causing large shunt which was diagnosed on echocardiography. The MAIF aneurysm in the absence of infective endocarditis rupturing into left atrium is extremely rare.
Pediatric Radiology, 2009
Mitral-aortic intervalvular fibrosa aneurysm is a rare disease whose aetiology remains a matter of debate. Here we present the youngest reported patient with the disease, a 6-month-old boy, without a history of infection, which supports a congenital origin as initially proposed. Multidetector-row CT (MDCT) surpassed echocardiography in delineating the intracardiac anatomical details with high spatial resolution, confirming the important problem-solving role of MDCT in the diagnosis of congenital heart disease.
Pseudoaneurysm of mitral-aortic intervalvular fibrosa: two case reports and review of literature
European Journal of Echocardiography, 2010
Background Pseudoaneurysm of mitral aortic intervalvular fibrosa (P-MAIVF), located between the mitral and aortic valves, is an uncommon but potentially catastrophic condition [1]. P-MAIVF is often associated with infective endocarditis, aortic valve surgery or chest trauma [2,3]. However, congenital heart diseases, such as bicuspid aortic valve, ventricular septal defect or patent ductus arteriosus, are rare causative factors of P-MAIVF [4,5]. Here, we present a case of congenital P-MAIVF in a 63-year-old patient with severe regurgitation of bicuspid aortic valve detected by preoperative trans-oesophageal echocardiography (TEE).
Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm
Journal of Cardiovascular Ultrasound, 2015
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.
Pseudoaneurysm of mitral-aortic intervalvular fibrosa
Interactive CardioVascular and Thoracic Surgery, 2011
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIVF) is one of the rare complications of infective endocarditis. Echocardiography plays an important role in the diagnosis of this condition. Transesophageal echocardiography (TEE) is generally superior to the transthoracic approach in the evaluation of the complications resulting from infective endocarditis. In this report, we discuss a case of infective endocarditis complicated by the development of a pseudoaneurysm of the MAIVF. The anatomic relationship of structures contiguous to the MAIVF and the salient echocardiographic findings of this clinical condition are presented. At surgery the diagnosis was confirmed and appropriate treatment instituted. The postoperative course was uncomplicated.
Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa: A Case Series with Literature Review
The pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) was traditionally considered a rare, life-threatening sequela of endocarditis or valve surgery. 89 cases were reported in the literature from 1966 to 2009. The advances on imaging techniques and the widespread use of the transesophageal echocardiogram have led to its prompt recognition. As a result, 166 cases were reported by 2014- almost double the number in a span of 5 years.
Prenatal Diagnosis of an Aneurysm of the Mitral-Aortic Intervalvular Fibrosa
Echocardiography, 2014
Aneurysm of the mitral-aortic intervalvular fibrosa (A-MAIVF) is a rare but potentially fatal condition. The aneurysm is located between the mitral and aortic valves and communicates with the left ventricular outflow tract, and the differential diagnoses include dilated coronary sinuses and coronary arteriovenous fistula. We describe the first reported case of an A-MAIVF diagnosed in the fetus. (Echocardiography 2015;32:716-719)
Echocardiography, 2014
Pseudoaneurysm of mitral-aortic intervalvular fibrosa (PA-MAIVF) is a rare complication of native aortic valve endocarditis. This region is a relatively avascular area and prone to infection during endocarditis and subsequent aneurysm formation. The rupture into the pericardial cavity and left atrium or aorta, systemic embolism, myocardial infarction secondary to left coronary compression, and sudden death are the reported complications. Herein, we present a 9-year-old boy who was diagnosed with bicuspid aortic valve endocarditis complicated by PA-MAIVF, cerebral embolism, and hemorrhage. PA-MAIVF was visualized by both two-and three-dimensional transthoracic echocardiography and ruptured into pericardial space causing a fatal outcome. (Echocardiography 2013;00:E1-E4)