Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography
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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=2;spage=152;epage=154;aulast=Joshi |
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| author | Shreedhar S Joshi Ashwini Thimmarayappa P S Nagaraja A M Jagadeesh Arul Furtado Seetharam Bhat |
| author_facet | Shreedhar S Joshi Ashwini Thimmarayappa P S Nagaraja A M Jagadeesh Arul Furtado Seetharam Bhat |
| author_sort | Shreedhar S Joshi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T04:30:12Z |
| format | Article |
| id | doaj.art-23755912d7e6405c870c9664ba93c151 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-04-13T04:30:12Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-23755912d7e6405c870c9664ba93c1512022-12-22T03:02:20ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842014-01-0117215215410.4103/0971-9784.129870Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiographyShreedhar S JoshiAshwini ThimmarayappaP S NagarajaA M JagadeeshArul FurtadoSeetharam BhatPseudoaneurysm 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.http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=2;spage=152;epage=154;aulast=JoshiDouble-valve replacement; Mitral-aortic intervalvular fibrosa; Pseudoaneurysm; Transesophageal echocardiography |
| spellingShingle | Shreedhar S Joshi Ashwini Thimmarayappa P S Nagaraja A M Jagadeesh Arul Furtado Seetharam Bhat Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography Annals of Cardiac Anaesthesia Double-valve replacement; Mitral-aortic intervalvular fibrosa; Pseudoaneurysm; Transesophageal echocardiography |
| title | Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography |
| title_full | Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography |
| title_fullStr | Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography |
| title_full_unstemmed | Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography |
| title_short | Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography |
| title_sort | repair of recurrent pseudoaneurysm of the mitral aortic intervalvular fibrosa role of transesophageal echocardiography |
| topic | Double-valve replacement; Mitral-aortic intervalvular fibrosa; Pseudoaneurysm; Transesophageal echocardiography |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=2;spage=152;epage=154;aulast=Joshi |
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