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.
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http://dx.doi.org/10.1007/s00247-008-1029-0 | DOI Listing |
Rev Med Chil
June 2024
Departamento Cardiovascular, Hospital Clínico Universidad de Chile, Santiago, Chile.
Bivalvular infective endocarditis is a clinical presentation that is associated to a greater extent with adverse outcomes. The involvement of the intervalvular mitral-aortic fibrosa is a rare complication associated with high mortality rates, requiring high complexity surgery. We report a case of a young male presenting to the emergency department with bivalvular endocarditis and mitral-aortic intervalvular fibrosa involvement.
View Article and Find Full Text PDFEur Heart J Case Rep
September 2024
Department of Cardiology, All India Institute of Medical Sciences, Room no.11, 7th floor, Cardio-Neuro Centre, AIIMS, New Delhi 110049, India.
Background: Infective endocarditis (IE) predominantly involves the cardiac valves. Timely diagnosis and initiation of therapy significantly reduce morbidity and mortality. Infective endocarditis presenting as a large left ventricular outflow tract (LVOT) mass is an atypical manifestation that provides significant challenges to the treating team.
View Article and Find Full Text PDFJ Cardiothorac Surg
June 2024
Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (PMAIF) is a rare complication of infective endocarditis or aortic valve surgery. Surgical treatment is suggested, but the long-term follow-up of conservative management remains unclear.
Case Presentation: A 33-year follow-up of a patient who developed PMAIF six years after aortic valve replacement is reported.
J Clin Ultrasound
October 2024
Ultrasound Department, Children's Hospital Affiliated to Shandong University, Jinan, China.
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is rare, particularly in children, and is potentially fatal. This article presents two cases of pediatric mitral-aortic intervalvular fibrosa pseudoaneurysm: one secondary to infective endocarditis and the other confirmed to be congenital in nature. The characteristic echocardiographic manifestations of mitral-aortic intervalvular fibrosa pseudoaneurysm demonstrated in this study will enhance diagnostic efficacy and guide early clinical intervention.
View Article and Find Full Text PDFCureus
May 2024
Intensive Care Unit, Hospital José Joaquim Fernandes, Beja, PRT.
We present a case report of a patient with infective endocarditis. He came to the emergency room with respiratory failure due to severe pneumonia and pulmonary edema. On 2D transesophageal echocardiography, vegetations were seen in both mitral and aortic valves, with mitral valve perforation and severe regurgitation.
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