A 35-year-old woman was found on echocardiography to have a pseudoaneurysm of the mitral-aortic intervalvular fibrosa, residual ventricular septal defect, and aortic regurgitation. She had undergone surgical closure of a ventricular septal defect at age 7 and was found to have residual shunt several years later. She had been followed nonsurgically and had symptoms of cardiac failure during her 2 pregnancies. The pseudoaneurysm and the septal defect were successfully repaired.
Get full access to this article
View all access options for this article.
References
1.
BorgesRodrigues AGSureshKMirzaHKatzJPSimandlSLBilfingerT. False aneurysm of the mitral-aortic intervalvular fibrosa after uncomplicated aortic valve replacement. J Am Soc Echocardiogr2002;15:743–5.
2.
ChanRLubiczSOliverLCalafioreP. Left ventricular false aneurysm complicating mitral valve repair. Ann Thorac Surg1993;56:175–6.
3.
SchwartzDRBelkinRNPucilloALBurlesonPDFishBGPooleyRW. Aneurysm of the mitral-aortic intervalvular fibrosa complicating infective endocarditis: Preoperative characterization by two-dimensional and color flow Doppler echocardiography, magnetic resonance imaging, and cineangiography. Am Heart J1990;119:196–9.
4.
AbrahamsDGBartonCJCockshottWPEdingtonGMWeaverEJ. Annular subvalvular left ventricular aneurysms. Q J Med1962;31:345–60.
5.
QizilbashAHSchwartzCJ. False aneurysm of left ventricle due to perforation of mitral-aortic intervalvular fibrosa with rupture and cardiac tamponade. Rare complication of infective endocarditis. Am J Cardiol1973;32:110–3.
6.
CheslerEKornsMEPorterGEReyesCNEdwardsJE. False aneurysm of the left ventricle secondary to bacterial endocarditis with perforation of the mitral-aortic intervalvular fibrosa. Circulation1968;37:518–23.
7.
AlmeidaJPinhoPTorresJPGarciaJMMacielMJLimaCA. Pseudoaneurysm of the mitral-aortic fibrosa: Myocardial ischemia secondary to left coronary compression. J Am Soc Echocardiogr2002;15:96–8.
