Idiopathic Pseudoaneurysm of the Mitral–Aortic Intervalvular Fibrosa

Mishra, Prashant; Marathe, Supreet P; Aironi, Balaji; Vaideeswar, Pradeep; Purkar, Nilesh S.; Gundre, Nitin P.

doi:10.1016/j.athoracsur.2015.06.037

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…We reported the unique known case of incidental finding of P‐MAIVF in an adult asymptomatic patient with BAV and gastrointestinal polyposis syndrome without history of endocarditis, blunt chest trauma, cardiac surgery, or cardiac catheterization. We hypothesize that the presence of BAV in association with a genetic predisposition or connective tissue disorders may be involved in the P‐MAIVF development as suggested by other authors, especially in patients without history of cardiac surgery and infective endocarditis 9,13–16 . Additionally, the presence of AR, with the eccentric jet of regurgitation may have contributed to the P‐MAIVF formation and enlargement by adding further insult to the already weak MAIVF area.…”

Section: Discussionmentioning

confidence: 53%

“…We hypothesize that the presence of BAV in association with a genetic predisposition or connective tissue disorders may be involved in the P-MAIVF development as suggested by other authors, especially in patients without history of cardiac surgery and infective endocarditis. 9,[13][14][15][16] Additionally, the presence of AR, with the eccentric jet of regurgitation may have contributed to the P-MAIVF formation and enlargement by adding further insult to the already weak MAIVF area. In terms of preventive measures, our observations could lead to consider AR in BAV as a potential predisposing risk factor for P-MAIVF requiring a more rigorous follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Incidental pseudoaneurysm of the mitral‐aortic intervalvular fibrosa in asymptomatic patient: A case report

Romiti

Wretschko

Saltarocchi

et al. 2022

Journal of Cardiac Surgery

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Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa (P‐MAIVF) can be a rare but life‐threatening complication of infective endocarditis, cardiac surgery, or blunt chest trauma. Congenital heart diseases especially in young patients are reported as additionally predisposing factors. We present the case of an asymptomatic 52 years‐old male with bicuspid aortic valve and gastrointestinal polyposis syndrome in whom a P‐MAIVF was incidentally detected. The patient successfully underwent pseudoaneurysm surgical repair and aortic valve replacement and despite no evident causes were found we hypothesized addiotional underlying mechanism of P‐MAIVF.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Incidental pseudoaneurysm of the mitral‐aortic intervalvular fibrosa in asymptomatic patient: A case report

Romiti

Wretschko

Saltarocchi

et al. 2022

Journal of Cardiac Surgery

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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: 68%

“…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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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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“…References of all included articles were searched for any additional reports. There were a total of 46 pediatric patients aged 0–21 years in 35 reports, including our case 1–34 . P‐MAIVF cause was assigned based on the original authors of the reports.…”

Section: Resultsmentioning

confidence: 99%

Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa following endocarditis and aortic valve surgery in an infant—Case report and exhaustive systematic review of pediatric cases

2020

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Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa (P‐MAIVF) continues to be a rare diagnosis in children. Etiology, presentation, and management strategies are considerably different from adults. We report a fatal case of P‐MAIVF with classical transthoracic and transesophageal echocardiographic findings complemented by CT imaging. The natural course of uncomplicated/asymptomatic P‐MAIVF is largely unknown since most patients are offered surgery. We present an extensive literature review of pediatric P‐MAIVF and highlight important differences from the adult form of this disease.

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Idiopathic Pseudoaneurysm of the Mitral–Aortic Intervalvular Fibrosa

Cited by 3 publications

References 3 publications

Incidental pseudoaneurysm of the mitral‐aortic intervalvular fibrosa in asymptomatic patient: A case report

Incidental pseudoaneurysm of the mitral‐aortic intervalvular fibrosa in asymptomatic patient: A case report

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

Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa following endocarditis and aortic valve surgery in an infant—Case report and exhaustive systematic review of pediatric cases

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