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1.
Ann Card Anaesth ; 2014 Apr; 17(2): 152-154
Artículo en Inglés | IMSEAR | ID: sea-150317

RESUMEN

Pseudoaneurysm of mitral‑aortic intervalvular fibrosa (P‑MAIVF) is a rare cardiac surgical condition. P‑MAIVF commonly occurs as a complication of aortic and mitral valve replacement surgeries. The surgical trauma during replacement of the valves weakens the avascular mitral and aortic intervalvular area. We present a case of P‑MAIVF recurrence 5 years after a primary repair. Congestive cardiac failure was the presenting feature with mitral and aortic regurgitation. In view of the recurrence, the surgical team planned for a double valve replacement. The sewing rings of the two prosthetic‑valves were interposed to close the mouth of the pseudoaneurysm and to provide mechanical reinforcement of the MAIVF. Intra‑operative transesophageal echocardiography (TEE) helped in delineating the anatomy, extent of the lesion, rupture of one of the pseudoaneurysm into left atrium and severity of the valvular regurgitation. Post‑procedure TEE confirmed complete obliteration of the pseudoaneurysm and prosthetic valve function.


Asunto(s)
Adulto , Aneurisma Falso/diagnóstico , Aneurisma Falso/cirugía , Insuficiencia de la Válvula Aórtica/complicaciones , Ecocardiografía Transesofágica , Fibrosis/diagnóstico , Prótesis Valvulares Cardíacas/efectos adversos , Humanos , Masculino , Insuficiencia de la Válvula Mitral/complicaciones
2.
Ann Card Anaesth ; 2013 Jan; 16(1): 40-43
Artículo en Inglés | IMSEAR | ID: sea-145390

RESUMEN

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.


Asunto(s)
Adulto , Aneurisma Falso/cirugía , Aneurisma Falso/terapia , Aneurisma Falso/diagnóstico por imagen , Ecocardiografía Transesofágica/métodos , Ecocardiografía Transesofágica/estadística & datos numéricos , Humanos , Masculino , Insuficiencia de la Válvula Mitral/complicaciones , Insuficiencia de la Válvula Mitral/cirugía , Insuficiencia de la Válvula Mitral/diagnóstico por imagen , Seno Aórtico/cirugía , Seno Aórtico/diagnóstico por imagen
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