Skip to main content
SpringerLink
Log in

Pseudoaneurysm of the mitral–aortic intervalvular fibrosa

A new comprehensive review

Pseudoaneurysma der mitral-aortalen intervalvulären Fibrosa

Eine neue umfassende Übersicht

  • Review article
  • Published:
Herz Aims and scope Submit manuscript

Abstract

Pseudoaneurysm of the mitral–aortic intervalvular fibrosa (P-MAIVF) is an infrequent but potentially life-threatening condition. Both transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) can detect P-MAIVF with sensitivity rates of 43 and 90 %, respectively. The typical finding of echocardiography is a pulsatile echo-free sac that expands in systole and collapses in diastole. Our review comprises 166 patients with P-MAIVF, including eight cases in our hospital and 158 cases from the literature. P-MAIVF is often associated with infection or surgical trauma. While it is likely to maintain an asymptomatic course, symptoms of shortness of breath, heart failure, valvular disease, chest pain, endocarditis, and cerebrovascular events are common clinical presentations. The recommended treatment is surgery. However, conservative therapy is an alternative approach for high-risk patients or when surgical treatment is refused. With the increasing incidence of cardiac surgery and infective endocarditis, a likely increment in the new diagnosis of pseudoaneurysm is expected.

Zusammenfassung

Das Pseudoaneurysma der mitral-aortalen intervalvulären Fibrosa (MAIVF, aortomitraler Übergang) ist nicht häufig, aber potenziell lebensbedrohlich. Sowohl mit der transthorakalen Echokardiographie (TTE) als auch mit der transösophagealen Echokardiographie (TEE) kann ein Pseudoaneurysma der MAIVF (P-MAIVF) mit einer Sensitivitätsrate von 43 bzw. 90 % diagnostiziert werden. Typischer Befund bei der Echokardiographie ist ein pulsierender echofreier Sack, der sich in der Systole ausdehnt und in der Diastole zusammenfällt. In die Studie wurden 166 Patienten mit P-MAIVF, darunter 8 Fälle aus der Klinik der Autoren und 158 Fälle aus der Literatur, aufgenommen. Oft geht ein P-MAIVF mit einer Infektion oder einem chirurgischen Trauma einher. Es ist zwar wahrscheinlich, dass der Verlauf asymptomatisch ist, aber Symptome wie Luftnot, Herzinsuffizienz, Herzklappenerkrankungen, Schmerzen in der Brust, Endokarditis und zerebrovaskuläre Ereignisse sind häufige klinische Zeichen. Zumeist wird die chirurgische Behandlung empfohlen. Die konservative Therapie ist jedoch ein alternativer Ansatz für Hochrisikopatienten oder in Fällen, in denen die Operation abgelehnt wird. Mit Zunahme der Häufigkeit von Herzoperationen und infektiöser Endokarditis ist auch von einem Anstieg der neuen Diagnose des Pseudoaneurysmas auszugehen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Abbreviations

LVOT:

Left ventricular outflow tract

MAIVF:

Mitral–aortic intervalvular fibrosa

P-MAIVF:

Pseudoaneurysm of the mitral–aortic intervalvular fibrosa

TEE:

Transesophageal echocardiography

TTE:

Transthoracic echocardiography

References

  1. Gin A, Hong H, Rosenblatt A et al (2011) Pseudoaneurysms of the mitral-aortic intervalvular fibrosa: survival without reoperation. Am Heart J 161(1):130 e1–e5

    PubMed  Google Scholar 

  2. Kassim TA, Lowery RC, Nasur A et al (2010) Pseudoaneurysm of mitral-aortic intervalvular fibrosa: two case reports and review of literature. Eur J Echocardiogr 11(3):E7

    PubMed  Google Scholar 

  3. Kunavarapu C, Olkovsky Y, Lafferty JC et al (2008) Unusual cardiac complications of Staphylococcus aureus endocarditis. J Am Soc Echocardiogr 21(2):187 e3–e5

    PubMed  Google Scholar 

  4. Penugonda N, Duncan K, Afonso L (2007) Complex endocarditis in an immunocompromised host: the role of three-dimensional echocardiography. J Am Soc Echocardiogr 20(11):1314 e9–e11

    PubMed  Google Scholar 

  5. Ashmeik K, Pai RG (2000) An unusual case of acquired ventricular septal defect as a complication of aortic valve endocarditis: echocardiographic delineation of multiple subvalvular complications in one patient. J Am Soc Echocardiogr 13(7):693–695

    CAS  PubMed  Google Scholar 

  6. Cheong YM, Hamer AW, Johns JA (1997) Mitral-aortic intervalvular fibrosa pseudoaneurysm complicating aortic valve endocarditis. Aust N Z J Med 27(2):193–194

    CAS  PubMed  Google Scholar 

  7. Bansal RC, Graham BM, Jutzy KR et al (1990) Left ventricular outflow tract to left atrial communication secondary to rupture of mitral-aortic intervalvular fibrosa in infective endocarditis: diagnosis by transesophageal echocardiography and color flow imaging. J Am Coll Cardiol 15(2):499–504

    CAS  PubMed  Google Scholar 

  8. Sadat K, Joshi D, Sudhakar S et al (2012) Incremental role of three-dimensional transesophageal echocardiography in the assessment of mitral-aortic intervalvular fibrosa abscess. Echocardiography 29(6):742–744

    PubMed  Google Scholar 

  9. Schaap J, Brinkman EB, Heijmen RH (2011) Left ventricular outflow tract pseudoaneurysm compromising blood flow through the left main coronary artery after mechanical aortic valve implantation. Eur Heart J 32(12):1508

    PubMed  Google Scholar 

  10. Koch R, Kapoor A, Spencer KT (2003) Stroke in patient with an intervalvular fibrosa pseudoaneurysm and aortic pseudoaneurysm. J Am Soc Echocardiogr 16(8):894–896

    PubMed  Google Scholar 

  11. Moaref A, Shahrzad S, Aslani A (2009) Acquired aortoventricular tunnel: a rare complication of infective endocarditis. Echocardiography 26(1):82–83

    PubMed  Google Scholar 

  12. Berrizbeitia LD, Anderson WA (1997) Ultrafast computed tomography in infectious pseudoaneurysm of the left ventricular outflow tract. J Thorac Cardiovasc Surg 114(1):138–139

    CAS  PubMed  Google Scholar 

  13. Lastowiecka E, Biederman A, Szajewski T, Rydlewska-Sadowska W (2002) The rupture of periaortic infective aneurysm into the left atrium and the left ventricular outflow tract: preoperative diagnosis by transthoracic echocardiography. Echocardiography 19(3):173–176

    PubMed  Google Scholar 

  14. Leung DY, Cranney GB, Hopkins AP, Walsh WF (1994) Role of transoesophageal echocardiography in the diagnosis and management of aortic root abscess. Br Heart J 72(2):175–181

    PubMed Central  CAS  PubMed  Google Scholar 

  15. Malvindi PG, Ornaghi D, Tarelli G, Raffa GM (2012) Left ventricular pseudoaneurysm following aortic valve prosthesis endocarditis. J Cardiovasc Med (Hagerstown) 13(7):457–459

    Google Scholar 

  16. Sudhakar S, Sewani A, Agrawal M, Uretsky BF (2010) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIVF): a comprehensive review. J Am Soc Echocardiogr 23(10):1009–1018

    PubMed  Google Scholar 

  17. Karalis DG, Bansal RC, Hauck AJ et al (1992) Transesophageal echocardiographic recognition of subaortic complications in aortic valve endocarditis. Clinical and surgical implications. Circulation 86(2):353–362

    CAS  PubMed  Google Scholar 

  18. Dores H, Abecasis J, Ribeiras R et al (2012) Uncommon acquired Gerbode defect following extensive bicuspid aortic valve endocarditis. Cardiovasc Ultrasound 10:7

    PubMed Central  PubMed  Google Scholar 

  19. Takimoto K, Arai F, Kita T, Sasaki S (2010) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa on a native aortic valve following infective endocarditis. J Anesth 24(2):260–263

    PubMed  Google Scholar 

  20. Tak T (2003) Pseudoaneurysm of mitral-aortic intervalvular fibrosa. Clin Med Res 1(1):49–52

    PubMed Central  PubMed  Google Scholar 

  21. Parashara DK, Jacobs LE, Kotler MN et al (1995) Angina caused by systolic compression of the left coronary artery as a result of pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Am Heart J 129(2):417–421

    CAS  PubMed  Google Scholar 

  22. Perelman MJ, Sugimoto J, Arcilla RA, Karp RB (1989) Aortic root replacement for complicated bacterial endocarditis in an infant. J Pediatr Surg 24(11):1121–1123

    CAS  PubMed  Google Scholar 

  23. Frank MW, Mavroudis C, Backer CL, Rocchini AP (1998) Repair of mitral valve and subaortic mycotic aneurysm in a child with endocarditis. Ann Thorac Surg 65(6):1788–1790

    CAS  PubMed  Google Scholar 

  24. Caselli S, Mazzesi G, Tritapepe L et al (2011) 3D echocardiographic delineation of mitral-aortic intervalular fibrosa pseudoaneurysm caused by bicuspid aortic valve endocarditis. Echocardiography 28(1):E1–E4

    PubMed  Google Scholar 

  25. Layman TE, January LE (1967) Mycotic left ventricular aneurysm involving the fibrous atrioventricular body. Am J Cardiol 20(3):423–427

    CAS  PubMed  Google Scholar 

  26. Sharifkazemi MB, Moarref AR, Rezaian S, Rezaian GR (2013) Brucella endocarditis of pseudoaneurysm of an aortic composite graft. J Cardiovasc Ultrasound 21(4):183–185

    PubMed Central  PubMed  Google Scholar 

  27. Gorselen E van, Nihoyannopoulos P, Verhorst P et al (2011) Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement. Eur J Echocardiogr 12(4):E30

    PubMed  Google Scholar 

  28. Araujo IR, Nunes Mdo C, Gelape CL et al (2012) Challenge in the management of infective endocarditis with multiple valvular involvement. Rev Soc Bras Med Trop 45(2):272–274

    PubMed  Google Scholar 

  29. Grimaldi A, Ho SY, Pozzoli A et al (2011) Pseudoaneurysm of mitral-aortic intervalvular fibrosa. Interact Cardiovasc Thorac Surg 13(2):142–147

    PubMed  Google Scholar 

  30. Velibey Y, Güngör B, Bolca O (2013) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa and complementary role of 3D transesophageal echocardiographic imaging. Anadolu Kardiyol Derg 13(8):E-44

    PubMed  Google Scholar 

  31. Muller H, Cikirikcioglu M, Lerch R (2008) Subaortic aneurysm caused by Paecilomyces lilacinus endocarditis. Arch Cardiovasc Dis 101(11–12):803–804

  32. Bansal RC, Moloney PM, Marsa RJ, Jacobson JG (1983) Echocardiographic features of a mycotic aneurysm of the left ventricular outflow tract caused by perforation of mitral-aortic intervalvular fibrosa. Circulation 67(4):930–934

    CAS  PubMed  Google Scholar 

  33. Xie M, Li Y, Cheng TO et al (2013) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Int J Cardiol 166(1):2–7

    PubMed  Google Scholar 

  34. Panneerselvam A, Subbiahnadar P (2011) Ruptured mitral-aortic intervalvular fibrosa aneurysm with flail aortic valve. BMJ Case Rep

  35. Selcuk H, Selcuk MT, Tufekcioglu O, Arat N (2009) The use of three-dimensional echocardiography in the visualization of pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Turk Kardiyol Dern Ars 37(5):328–331

    PubMed  Google Scholar 

  36. Ghersin E, Litmanovich D, Agmon Y, Milo S (2005) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa following aortic valve replacement—diagnosis and dynamic evaluation with multidetector CT and transesophageal echocardiography. Interact Cardiovasc Thorac Surg 4(6):502–504

    PubMed  Google Scholar 

  37. Yokoyama Y, Tamaki S, Kato N et al (2003) Pseudoaneurysm from the mitral-aortic intervalvular fibrosa following endocarditis. Jpn J Thorac Cardiovasc Surg 51(8):374–377

    PubMed  Google Scholar 

  38. Griffiths BE, Petch MC, English TA (1982) Echocardiographic detection of subvalvar aortic root aneurysm extending to mitral valve annulus as complication of aortic valve endocarditis. Br Heart J 47(4):392–396

    PubMed Central  CAS  PubMed  Google Scholar 

  39. Pai RG, Ortega V, Ferry DR (1995) A case of mitral-aortic intervalvular fibrosa aneurysm with unique flow patterns and long-term natural survival. J Am Soc Echocardiogr 8(2):211–214

    CAS  PubMed  Google Scholar 

  40. Pirat B, Buergler J, Zoghbi WA (2005) Echocardiographic features of pseudoaneurysm of the mitral-aortic inter-valvular fibrosa. Anadolu Kardiyol Derg 5(4):344–345

    PubMed  Google Scholar 

  41. Takamiya Y, Miura S, Sako H et al (2007) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa following infective endocarditis in a patient with acute heart failure: a case report. J Cardiol 49(6):353–356

    PubMed  Google Scholar 

  42. Garneau S, Demers P, Denault AY (2007) Unexpected periaortic cavity during heart surgery. Anesth Analg 104(1):75–76

    PubMed  Google Scholar 

  43. Hori D, Tanaka M, Yamaguchi A et al (2008) Extracardiac aneurysm of the interleaflet triangle above the aortic-mitral curtain due to infective endocarditis of the bicuspid aortic valve. Gen Thorac Cardiovasc Surg 56(8):424–426

    PubMed  Google Scholar 

  44. Saint-Martin P, Rogers C, Carpenter E et al (2009) Subaortic pseudoaneurysm of the left ventricle complicating staphylococcal endocarditis. J Forensic Sci 54(4):930–932

    PubMed  Google Scholar 

  45. Sogabe O, Ohya T (2007) A case of tuberculous endocarditis with acute aortic valve insufficiency and annular subvalvular left ventricular aneurysm. Gen Thorac Cardiovasc Surg 55(2):61–64

    PubMed  Google Scholar 

  46. Afridi I, Apostolidou MA, Saad RM, Zoghbi WA (1995) Pseudoaneurysms of the mitral-aortic intervalvular fibrosa: dynamic characterization using transesophageal echocardiographic and Doppler techniques. J Am Coll Cardiol 25(1):137–145

    CAS  PubMed  Google Scholar 

  47. Gelehrter S, Wright G, Gless T et al (2002) Left ventricular outflow tract pseudoaneurysms in congenital heart disease. Am J Cardiol 90(7):806–809

    PubMed  Google Scholar 

  48. Malcles G, Azarnoush K, Ravan R et al (2011) Pseudo-aneurysm of mitro-aortic continuity: a rare complication after aortic valve replacement. Ann Cardiol Angeiol (Paris) 60(5):296–299

    Google Scholar 

  49. Kahveci G, Keles N, Bayrak F, Mutlu B (2008) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa after aortic valve replacement. Turk Kardiyol Dern Ars 36(7):499

    PubMed  Google Scholar 

  50. Ivens EL, Thompson CR, Moss RR et al (2008) Images in cardiovascular medicine: prosthetic aortic valve and conduit dehiscence with large periconduit cavity, ascending aortic aneurysm and severe mitral regurgitation. Eur J Echocardiogr 9(1):148–151

    PubMed  Google Scholar 

  51. Espinosa-Caliani JS, Montijano A, Melero JM, Montiel A (2000) Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation. Eur J Cardiothorac Surg 17(6):757–759

    CAS  PubMed  Google Scholar 

  52. Tiwari KK, Murzi M, Mariani M, Glauber M (2009) Giant pseudo-aneurysm of the left ventricle outflow tract after aortic root replacement for extensive endocarditis. Eur J Cardiothorac Surg 36(2):399

    PubMed  Google Scholar 

  53. Turiel M, Gottardi B, Muzzupappa S (2001) A case of subannular aortic aneurysm detected by transoesophageal echocardiography. Acta Cardiol 56(6):395–397

    CAS  PubMed  Google Scholar 

  54. Aikat S, Lundergan CF, Adkins MS, Lewis JF (2003) Delayed presentation of left ventricular outflow tract aneurysm after penetrating cardiac trauma. J Am Soc Echocardiogr 16(10):1085–1087

    PubMed  Google Scholar 

  55. Kruithoff WA, Akl BF, Blacky AR (1995) Surgical repair of an anterior mitral subvalvular aneurysm. Ann Thorac Surg 59(4):1001–1003

    CAS  PubMed  Google Scholar 

  56. Harish A, Hatibu S, Ramkumar SR et al (2009) Aneurysm of mitral aortic intervalvular fibrosa—a case report and review. Indian Heart J 61(4):394–396

    CAS  PubMed  Google Scholar 

  57. Moorthy N, Kumar S, Tewari S et al (2012) Mitral-aortic intervalvular fibrosa aneurysm with rupture into left atrium: an uncommon cause of acute dyspnea. Heart Views 13(1):13–15

    PubMed Central  PubMed  Google Scholar 

  58. Lurie AO (1960) Left ventricular aneurysm in the African. Br Heart J 22:181–188

    PubMed Central  CAS  PubMed  Google Scholar 

  59. Acioli Pereira L, Fontes Gontijo P, Alcantara Farran J et al (2013) Giant pseudoaneurysm of the left ventricular outflow tract: a rare disease. Rev Port Cardiol 32(6):541–544

    Google Scholar 

  60. Parakh N, Yadav N, Kathuria S et al (2013) Pseudo-aneurysm of mitral aortic intervalvular fibrosa: two case reports. Indian Heart J 65(1):100–103

    PubMed Central  PubMed  Google Scholar 

  61. Hasin T, Reisner SA, Agmon Y (2011) Large pseudoaneurysms of the mitral-aortic intervalvular fibrosa: long-term natural history without surgery in two patients. Eur J Echocardiogr 12(3):E24

    PubMed  Google Scholar 

  62. Kim HW, Chung CH (2010) Mitral-aortic intervalvular fibrosa pseudoaneurysm resulting in the displacement of the left main coronary artery after aortic valve replacement. J Thorac Cardiovasc Surg 139(2):e18–e20

    PubMed  Google Scholar 

  63. Rodrigues Borges AG, Suresh K, Mirza H et al (2002) False aneurysm of the mitral-aortic intervalvular fibrosa after uncomplicated aortic valve replacement. J Am Soc Echocardiogr 15(7):743–745

    Google Scholar 

  64. Antonellis J, Kostopoulos K, Routoulas T et al (1997) Aneurysm of the mitral-aortic intervalvular fibrosa as a rare cause of angina pectoris: angiographic demonstration. Cathet Cardiovasc Diagn 42(4):423–426

    CAS  PubMed  Google Scholar 

  65. Romaguera R, Slack MC, Waksman R et al (2010) IMAGE CARDIO MED: Percutaneous closure of a left ventricular outflow tract pseudoaneurysm causing extrinsic left coronary artery compression by transseptal approach. Circulation 121(4):e20–e22

    CAS  PubMed  Google Scholar 

  66. Turkvatan A, Demirkan B, Guray Y (2011) Multidetector computed tomographic angiography diagnosis of a giant pseudoaneurysm of the left ventricular outflow tract. Eur J Cardiothorac Surg 39(3):e30

    PubMed  Google Scholar 

  67. Almeida J, Pinho P, Torres JP et al (2002) Pseudoaneurysm of the mitral-aortic fibrosa: myocardial ischemia secondary to left coronary compression. J Am Soc Echocardiogr 15(1):96–98

    PubMed  Google Scholar 

  68. Aoyagi S, Fukunaga S, Otsuka H et al (2004) Left ventricular outflow tract pseudoaneurysm after aortic valve replacement: case report. J Heart Valve Dis 13(1):145–148

    PubMed  Google Scholar 

  69. Linhartova K, Veselka J, Adla T (2007) Left ventricular pseudoaneurysm as a late complication of mitral annuloplasty. Eur Heart J 28(19):2360

    PubMed  Google Scholar 

  70. Jaggers J, Fullerton DA, Campbell DN, Clarke DR (1996) LVOT pseudoaneurysm: a late complication of extended aortic root replacement. Ann Thorac Surg 62(4):1198–1199

    CAS  PubMed  Google Scholar 

  71. Tsai IC, Hsieh SR, Chern MS et al (2009) Pseudoaneurysm in the left ventricular outflow tract after prosthetic aortic valve implantation: evaluation upon multidetector-row computed tomography. Tex Heart Inst J 36(5):428–432

    PubMed Central  PubMed  Google Scholar 

  72. Joshi SS, Jagadeesh AM, Furtado A, Bhat S (2013) Transesophageal echocardiography in surgical management of pseudoaneurysm of mitral-aortic intervalvular fibrosa with aneurysms of right sinus of Valsalva and left main coronary artery. Ann Card Anaesth 16(1):40–43

    PubMed  Google Scholar 

  73. Tsai IC, Fu YC, Lin PC et al (2009) MDCT evaluation of congenital mitral-aortic intervalvular fibrosa aneurysm: implications for the aetiology and differential diagnosis. Pediatr Radiol 39(1):80–83

    PubMed  Google Scholar 

  74. Tufekcioglu O, Ozlu MF, Cay S et al (2008) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a patient with Takayasu’s arteritis. Can J Cardiol 24(9):718

    PubMed Central  PubMed  Google Scholar 

  75. Gupta R, Jammula P, Huang MH et al (2006) An unusual complication after aortic valve replacement. J Clin Ultrasound 34(7):361–364

    PubMed  Google Scholar 

  76. Yamamoto S, Tedoriya T, Masuda Z et al (2006) Mitral-aortic intervalvular pseudoaneurysm with ventricular septal defect. Asian Cardiovasc Thorac Ann 14(2):e35–e37

    PubMed  Google Scholar 

  77. Jimenez Valero S, Garcia E, Gonzalez Pinto A, Delcan JL (2005) Percutaneous closure of pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Rev Esp Cardiol 58(12):1473–1475

    Google Scholar 

  78. Gungor B, Altay S, Dayi SU, Bolca O (2012) 3D echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Anadolu Kardiyol Derg 12(8):E42–E43

    PubMed  Google Scholar 

  79. Normann SJ (1991) Annular subaortic aneurysm resulting in sudden death. Clin Cardiol 14(1):68–72

    CAS  PubMed  Google Scholar 

  80. Dogan M, Vural MG, Turkvatan A, Yeter E (2012) Incidentally diagnosed pseudoaneurysm of mitral-aortic intervalvular fibrosa. Anadolu Kardiyol Derg 12(8):E41–E42

    PubMed  Google Scholar 

  81. Barranhas AD, Dias MC, Dos Santos AA et al (2012) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa presenting after chest trauma and diagnosed by cardiac magnetic resonance: a case report. J Med Case Rep 6(1):357

    PubMed Central  PubMed  Google Scholar 

  82. Spampinato RA, Borger MA, Strotdrees E, Mohr FW (2013) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa as a complication after minimally invasive mitral valve repair. Interact Cardiovasc Thorac Surg 16(3):396–398

    PubMed Central  PubMed  Google Scholar 

  83. Choh NA, Shaheen F, Rather H, Aslam K (2013) Pseudoaneurysm of mitral-aortic intervalvular fibrosa in a child: Demonstration by MDCT and MRI. Ann Pediatr Cardiol 6(1):80–82

    PubMed Central  PubMed  Google Scholar 

  84. Agirbasli M, Fadel BM (1999) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa: a long-term complication of infective endocarditis. Echocardiography 16(3):253–257

    PubMed  Google Scholar 

  85. Matthews RV, French WJ, Criley JM (1989) Chest trauma and subvalvular left ventricular aneurysms. Chest 95(2):474–476

    CAS  PubMed  Google Scholar 

  86. Sousa L, Branco L, Abreu J et al (1999) A pseudoaneurysm of the mitral-aortic intervalvular fibrosis after aortic valve replacement. Rey Port Cardiol 18(2):177–178

    CAS  Google Scholar 

  87. Da Col U, Ramoni E, Di Bella I, Ragni T (2009) An unusual left ventricular outflow pseudoaneurysm: usefulness of echocardiography and multidetector computed tomography for surgical repair. Cardiovasc Intervent Radiol 32(1):188–191

    Google Scholar 

  88. Entrikin DW, Shroff GS, Kon ND, Carr JJ (2011) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa: a delayed complication of aortic root replacement. J Cardiovasc Comput Tomogr 5(5):333–335

    PubMed  Google Scholar 

  89. Winkler ML, Higgins CB (1986) MRI of perivalvular infectious pseudoaneurysms. AJR Am J Roentgenol 147(2):253–256

    CAS  PubMed  Google Scholar 

  90. Robles P, Sonlleva A (2007) Aneurysm of the intervalvular mitroaortic fibrosa after aortic valve replacement diagnosed by cardiovascular magnetic resonance imaging. Intern Med 46(21):1825

    PubMed  Google Scholar 

  91. Bolcal C, Baysan O, Doganci S et al (2007) A mitral-aortic intervalvular fibrosa false aneurysm in a patient without overt heart disease. Can J Cardiol 23(5):389–390

    PubMed Central  PubMed  Google Scholar 

  92. Goldfarb B, Rovner M, Goldbraich N (1997) Pseudoaneurysm of the left ventricular outflow tract with reentry into the ascending aorta: an iatrogenic left ventricular ascending aortic fistula. J Am Soc Echocardiogr 10(8):866–868

    CAS  PubMed  Google Scholar 

  93. Ueno T, Sakata R, Iguro Y, Yamamoto H (2008) Intervalvular fibrosa pseudoaneurysm with projectile shunt flow to left atrium. Interact Cardiovasc Thorac Surg 7(4):727–729

    PubMed  Google Scholar 

  94. Strauch JT, Wippermann J, Krep H, Wahlers T (2008) Subannular perforation after long-lasting aortic valve replacement mimicking mitral insufficiency. Ann Thorac Surg 85(1):311–313

    PubMed  Google Scholar 

  95. Economopoulos G (2007) Delayed pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Ann Thorac Surg 83(6):2233

    PubMed  Google Scholar 

  96. Han J, He Y, Li Z et al (2009) Pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a patient after radio frequency catheter ablation of atrial fibrillation. J Ultrasound Med 28(2):249–251

    PubMed  Google Scholar 

  97. Pongratz G, Pohlmann M, Gehling G, Bachmann K (1997) Images in cardiovascular medicine. Pseudoaneurysm in the intervalvular mitral-aortic region after endocarditis and prosthetic aortic valve replacement. Circulation 96(9):3241–3242

    CAS  PubMed  Google Scholar 

  98. Dawson D, Pessotto R, Neary P (2009) Inter-valvular fibrosa pseudo-aneurysm as a late complication after aortic valve surgery. Eur J Echocardiogr 10(1):169–170

    PubMed  Google Scholar 

  99. Salerno D, Donati G, Forconi S, Gori T (2008) Giant pseudoaneurysm of the mitro-aortic intervalvular fibrosa: incidental diagnosis. Intern Emerg Med 3(3):279–282

    PubMed  Google Scholar 

  100. Frary G, Hasselman T, Patel P (2012) Atypical left ventricular outflow tract aneurysm diagnosed by three-dimensional echocardiography. Cardiol Young 22(4):478–480

    PubMed  Google Scholar 

  101. Kahveci G, Yilmaz F, Mutlu B (2008) Bicuspid aortic valve endocarditis complicated with aortic valve aneurysm and pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Echocardiography 25(7):799–801

    PubMed  Google Scholar 

  102. Ekici F, Kocabas A, Aktas D et al (2014) Native aortic valve endocarditis complicated by pseudoaneurysm of mitral-aortic intervalvular fibrosa. Echocardiography 31(2):60–63

    Google Scholar 

  103. Silbiger JJ, Krasner A, Chikwe J et al (2013) Pseudoaneurysm formation in infective endocarditis. Echocardiography 30(10):319–321

    Google Scholar 

  104. Chandra S, Ameta D, Kharwar RB et al (2013) Three-dimensional echocardiographic delineation of an acquired aorto-left atrial fistula complicating native aortic valve endocarditis—”advantage of three dimensions”. Echocardiography 30(10):326–330

    Google Scholar 

Download references

Compliance with ethical guidelines

Conflict of interest. E. Şahan, M. Gül, S. Şahan, E. Sokmen, Y.A. Guray, and O. Tufekçioglu state that there are no conflicts of interest. The accompanying manuscript does not include studies on humans or animals.

Author information

Authors and Affiliations

  1. Department of Cardiology, Atatürk Pulmonary Disease and Thorax Surgery Research Hospital, Sanatoryum Street, 06280, Ankara, Turkey

    E. Şahan MD, M. Gül, S. Şahan, E. Sokmen, Y.A. Guray & O. Tufekçioglu

Authors
  1. E. Şahan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Gül
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Şahan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. E. Sokmen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y.A. Guray
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. O. Tufekçioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. Şahan MD.

Additional information

Additional material online: This article includes an additional Table. You will find this supplemental at dx.doi.org/10.1007/s00059-014-4185-z.

Electronic supplementary material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Şahan, E., Gül, M., Şahan, S. et al. Pseudoaneurysm of the mitral–aortic intervalvular fibrosa. Herz 40 (Suppl 2), 182–189 (2015). https://doi.org/10.1007/s00059-014-4185-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00059-014-4185-z

Keywords

Schlüsselwörter

Search

Navigation