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Wang CW, Yu CL, Pan HC, et al. A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa. Acta Cardiol Sin. 2015;31(4):358-60doi: 10.6515/acs20140928a.
Wang, C. W., Yu, C. L., Pan, H. C., Chan, S. W., Wang, K. Y., & Lin, W. W. (2015). A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa. Acta Cardiologica Sinica, 31(4), 358-60. https://doi.org/10.6515/acs20140928a
Wang, Chi-Wei, et al. "A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa." Acta Cardiologica Sinica vol. 31,4 (2015): 358-60. doi: https://doi.org/10.6515/acs20140928a
Wang CW, Yu CL, Pan HC, Chan SW, Wang KY, Lin WW. A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa. Acta Cardiol Sin. 2015 Jul;31(4):358-60. doi: 10.6515/acs20140928a. PMID: 27122893; PMCID: PMC4804933.
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Acta Cardiol Sin. 2015 Jul;31(4):358-60. doi: 10.6515/acs20140928a.

A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa.

Acta Cardiologica Sinica

Chi-Wei Wang, Chu-Leng Yu, Hung-Chih Pan, Si-Wa Chan, Kuo-Yang Wang, Wei-Wen Lin

Affiliations

  1. Cardiovascular Center, Taichung Veterans General Hospital;
  2. Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan.
  3. Cardiovascular Center, Taichung Veterans General Hospital; ; Department of Internal Medicine, Chung Shan Medical University Hospital; ; Department of Internal Medicine, China Medical University Hospital;
  4. Cardiovascular Center, Taichung Veterans General Hospital; ; Department of Internal Medicine, China Medical University Hospital; ; Department of Life Science, Tunghai University;

PMID: 27122893 PMCID: PMC4804933 DOI: 10.6515/acs20140928a

Abstract

UNLABELLED: A 59 year-old previously healthy male was admitted to the hospital with fever reportedly several days in duration. His physical examination was unremarkable at first. Pneumonia was initially diagnosed, but acute pulmonary edema with a new grade III to and fro murmur developed 1 week later. Transesophageal echocardiography (TEE) disclosed a pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF). Subsequent consultation with a cardiovascular surgeon resulted in a repaired aorta with otherwise uneventful results. P-MAIVF is a very rare complication of prosthetic aortic valve (AV) infective endocarditis, and even in native AV. Therefore a careful and through physical examination of patients and early TEE examination are essential in this rare complication of infective endocarditis.

KEY WORDS: Echocardiography; Infective endocarditis; Mitral-aortic intervalvular fibrosa; Pseudoaneurysm.

References

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