Iatrogenic Pseudoaneurysm of Intervalvular Fibrosa – A Case Report

Pseudoaneurysm of aorto-mitral intervalvular fibrosa (P-AMIVF) is a rare fatal complication of endocarditis; however, balloon aortic valvuloplasty has been associated with this condition. In the absence of complications, this entity is usually asymptomatic. Trans-thoracic and trans-esophageal echocardiography are the mainstay to assess the severity of valve lesion and myocardial abscess in this hidden region. The 38-year-old patient diagnosed with critical calcified bicuspid aortic valve stenosis; dilatation of aortic root and aneurysmal aorto-mitral curtain with moderate mitral regurgitation was treated successfully. We share our views and challenges related to mural endocarditis, myocardial abscesses, and P-AMIVF.