Key result
Surgical repair successfully treats a rare mitral-aortic intervalvular fibrosa pseudoaneurysm one year after PTCA.
Why the study?
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is an uncommon and life-threatening condition typically caused by infective endocarditis or surgical valve operations, with cases occurring after percutaneous transluminal coronary angioplasty being rare.
Case Report (n=1)
No
Highlights a rare case of P-MAIVF occurring after PTCA, successfully diagnosed with multimodality echocardiography and treated with surgical repair.
Answers are grounded in this paper and cite their sources.
May warrant vigilance for rare post-PTCA MAIVF pseudoaneurysm; single case leaves open incidence and risk factors.
BACKGROUND: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is an uncommon but potentially life-threatening condition. The most common pathogenic factors of P-MAIVF are infective endocarditis and surgical valve operation. Here, we report a rare case of P-MAIVF which occurred one year after percutaneous transluminal coronary angioplasty (PTCA). CASE PRESENTATION: A 31-year-old man developed a P-MAIVF one year after PTCA. Transthoracic echocardiography (TTE) revealed a pseudoaneurysm between the aortic root and the left atrium. Three-dimensional transesophageal echocardiography (3D-TEE) clearly demonstrated the orifice of the pseudoaneurysm. This case was initially diagnosed by ultrasound, and the prognosis was good after surgical repair. CONCLUSIONS: We report a rare case of P-MAIVF that occurred one year after PTCA.
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Xie et al. (2023) conducted a case report in Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) (n=1). Surgical repair was evaluated. A 31-year-old man developed a rare pseudoaneurysm of the mitral-aortic intervalvular fibrosa one year after percutaneous transluminal coronary angioplasty, which was successfully treated with surgical repair.
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