Pseudoaneurysm of mitro-aortic intervalvular fibrosa during the course of mitral valve endocarditis with aorto-left ventricle outflow tract fistula

Fazlinezhad, Afsoon; Fatehi, H; Tabaee, Samaneh; Alavi, M; Hoseini, L.; Yousefzadeh, H.

doi:10.1016/j.jsha.2012.02.006

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…On rare occasions, IE can cause pseudoaneurysms of the sinus of Valsalva and the surrounding paravalvular area. [1][2][3][4][5] Our patient developed a pseudoaneurysm despite his completing 6 weeks of intravenous antibiotic therapy-followed by negative blood cultures and no evidence of valvular insufficiency, vegetation, or paravalvular abscess on the initial TEE.…”

Section: Case Reportmentioning

confidence: 99%

Sinus of Valsalva Pseudoaneurysm as a Sequela to Infective Endocarditis

Lee¹,

Siegel²

2016

Texas Heart Institute Journal

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Pseudoaneurysm is an uncommon sequela of infective endocarditis. We treated a 44-year-old man who had an active case of group B streptococcal infective endocarditis of the aortic valve despite no evidence of valvular dysfunction or vegetation on his initial transesophageal echocardiogram. After completing 6 weeks of intravenous antibiotic therapy, the patient developed a sinus of Valsalva pseudoaneurysm and severe aortic regurgitation caused by partial detachment of the left coronary cusp. We used a pericardial patch to close the pseudoaneurysm and repair the coronary cusp. This case shows the importance of routine clinical follow-up evaluation in infective endocarditis, even after completion of antibiotic therapy. Late sequelae associated with infective endocarditis or its therapy include recurrent infection, heart failure caused by valvular dysfunction (albeit delayed), and antibiotic toxicity such as aminoglycoside-induced nephropathy and vestibular toxicity.

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Section: Case Reportmentioning

confidence: 99%

Sinus of Valsalva Pseudoaneurysm as a Sequela to Infective Endocarditis

Lee¹,

Siegel²

2016

Texas Heart Institute Journal

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“…Other causes include abscesses, Takayasu arteritis, rheumatic carditis, aortic regurgitation [ 6 , 7 ]. Till date, there have been only two reported cases of P-MAIVF occurrence with rheumatic heart disease [ 8 , 9 ]. Our patient had a history of rheumatic fever without valvulitis and the symptoms were attributed to exacerbation of underlying lung disease rather than from valvular decompensation.…”

Section: Discussionmentioning

confidence: 99%

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

Chandrakumar

Chowdhury

Elamir

et al. 2020

AJMCR

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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.

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“…LVOT aneurysm is a rare complication of aortic valve replacement, endocarditis, or chest trauma surgery. 1 , 2 , 3 It has been reported as a pseudoaneurysm that is usually found in the mitral-aortic intervalvular fibrosa. 1 , 2 , 3 , 4 Our patient had undergone an arterial switch operation with coronary transfer as an infant; however, the subaortic LVOT, including the mitral-side ventriculo-infundibular fold, had not been corrected during that operation.…”

Section: Discussionmentioning

confidence: 99%

“…Left ventricular outflow tract (LVOT) aneurysm is rare and has been reported in association with postcardiac surgery trauma or infective endocarditis. 1 , 2 , 3 We have reported a case of asymptomatic LVOT aneurysm of the ventricular infundibular fold (VIF) that had been present between the aortomitral annulus, which exists only in the presence of a double outlet right ventricle (DORV). The aneurysm had been detected after complete repair of transposition of the great arteries (TGA) and DORV.…”

mentioning

confidence: 99%