Pseudoaneurysm of the mitral-aortic fibrosa: myocardial ischemia secondary to left coronary compression.
In the current study we describe the cases of 2 patients operated on for left-sided endocarditis, who later had myocardial ischemia develop secondary to left coronary artery compression from a pseudoaneurysm of the mitral-aortic fibrosa. Because the symptoms of angina persisted despite medical treatment, both patients had second surgeries. Myocardial revascularization was performed in 1 patient; the other patient, who had a severely depressed ventricular function, was given an orthotopic cardiac transplant.
Almeida
Jorge
J
Center of Thoracic Surgery, S. João Hospital, Oporto, Portugal. jalmeida@hsjoao.min.saude.pt
Pinho
Paulo
P
Torres
J Pinheiro
JP
Garcia
J Moto
JM
Maciel
M Júlia
MJ
Lima
C Abreu
CA
Bastos
P Texeira
PT
Gomes
M Rodrigues
MR
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D003327:Coronary Disease / Q000150:complications; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation