title: Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery.
abstract: Pseudoaneurysm of mitral-aortic intervalvular fibrosa (MAIVF) is a rare complication associated with aortic and/or mitral valve surgery complicated by infective endocarditis. We report pseudoaneurysm of MAIVF in a young adult without overt cardiac disease or previous cardiac surgery. The patient had a rare combination of pseudoaneurysm of MAIVF impinging on anterior mitral leaflet causing moderate mitral regurgitation, right sinus of Valsalva aneurysm extending into interventricular septum, and left main coronary artery aneurysm. Transesophageal echocardiography helped in confirming the lesions, delineating the anatomy of all the lesions, and assessing the adequacy of surgical repair.
authors.affiliation: Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
authors.forename: Shreedhar S
authors.initials: SS
authors.lastname: Joshi
authors.forename: Arkalgud Marigowda
authors.initials: AM
authors.lastname: Jagadeesh
authors.forename: Arul
authors.initials: A
authors.lastname: Furtado
authors.forename: Seetharam
authors.initials: S
authors.lastname: Bhat
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000601:surgery*; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002637:Chest Pain; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery*