Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation.
Left ventricular outflow tract pseudoaneurysm is an uncommon but potentially catastrophic complication of aortic valve surgery, aortic valve endocarditis or chest trauma. We describe a case of a left ventricular outflow tract pseudoaneurysm 1 month after an aortic valve replacement that caused a systolic compression of mitral valve and a severe regurgitation. The diagnosis was confirmed using transoesophageal echocardiography, magnetic resonance image and intraoperative endoscopy. Surgical repair of the pseudoaneurysm corrected the mitral regurgitation.
Espinosa-Caliani
J S
JS
Cardiology Department, Málaga University Hospital Virgen de la Victoria, Málaga University School of Medicine, Málaga, Spain. sespinosac@meditex.es
Montijano
A
A
Melero
J M
JM
Montiel
A
A
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013906:Thoracoscopy / Q000379:methods; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery