Key result
Surgical repair and aortic valve replacement successfully treat incidentally detected P-MAIVF in an asymptomatic male.
Why the study?
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare but life-threatening condition associated with infective endocarditis, surgery, trauma, or congenital heart diseases.
Case Report (n=1)
Highlights a rare case of incidentally detected pseudoaneurysm of the mitral-aortic intervalvular fibrosa in an asymptomatic patient with a bicuspid aortic valve, successfully treated with surgery.
Repair feasible in asymptomatic incidental P-MAIVF; extends sparse case reports but leaves optimal management open.
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) can be a rare but life-threatening complication of infective endocarditis, cardiac surgery, or blunt chest trauma. Congenital heart diseases especially in young patients are reported as additionally predisposing factors. We present the case of an asymptomatic 52 years-old male with bicuspid aortic valve and gastrointestinal polyposis syndrome in whom a P-MAIVF was incidentally detected. The patient successfully underwent pseudoaneurysm surgical repair and aortic valve replacement and despite no evident causes were found we hypothesized addiotional underlying mechanism of P-MAIVF.
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Romiti et al. (2022) conducted a case report in Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (n=1). Pseudoaneurysm surgical repair and aortic valve replacement was evaluated. Pseudoaneurysm surgical repair and aortic valve replacement were successfully performed in a 52-year-old asymptomatic male with an incidentally detected P-MAIVF.
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