The use of three-dimensional echocardiography in the visualization of pseudoaneurysm of the mitral-aortic intervalvular fibrosa.
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIF) is an uncommon but serious complication of aortic valve endocarditis. A 23-year-old woman was referred to our institution with the diagnosis of aortic valve endocarditis thought to be complicated by an aortic root abscess. Two-dimensional transthoracic echocardiography revealed a vegetation attached to the left coronary cuspis of the aortic valve and a false aneurysm-like structure in the MAIF at the left ventricular outflow tract. The diagnosis of MAIF pseudoaneurysm was confirmed by three-dimensional echocardiography. The patient died a few hours after admission because of worsening of her neurological status. An abscess-like structure detected in a patient with aortic valve endocarditis should be differentiated from a pseudoaneurysm of the MAIF.
Selçuk
Hatice
H
Department of Cardiology, Turkiye Yüksek Ihtisas Hospital, Ankara, Turkey. haticsel@hotmail.com
Selçuk
Mehmet Timur
MT
Tüfekçioğlu
Omaç
O
Arat
Nurcan
N
D000038:Abscess / Q000175:diagnosis; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging*; D001021:Aortic Valve / Q000000981:diagnostic imaging*; D020520:Brain Infarction / Q000150:complications; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional; D004696:Endocarditis / Q000150:complications* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D055815:Young Adult