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A case of echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa by infective endocarditis. | LitMetric

AI Article Synopsis

  • The report details a rare case of a ruptured pseudoaneurysm (PSA) in the mitral-aortic intervalvular fibrosa (MAIVF) due to infective endocarditis.
  • The rupture occurred in two locations: the left sinus of Valsalva and the left atrium, causing complex blood flow issues between the aorta, left ventricle, and left atrium, which led to severe heart failure.
  • Transesophageal echocardiography played a key role in revealing the anatomical specifics of the PSA necessary for successful surgical intervention, marking this as the first documented instance of PSA of MAIVF with dual rupture sites.

Article Abstract

This report describes an unusual case of ruptured pseudoaneurysm (PSA) of mitral-aortic intervalvular fibrosa (MAIVF) caused by infective endocarditis. The PSA ruptured into the left sinus of Valsalva in addition to the left atrium, resulting in complicated shunting among the aorta, left ventricle and left atrium, leading to refractory heart failure. The transesophageal echocardiography provided the precise information concerning the anatomical detail of the PSA, which is crucial for the surgical repair. This is the first report describing a patient with PSA of MAIVF with two rupture sites.

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Source
http://dx.doi.org/10.1007/s12574-009-0010-8DOI Listing

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