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Pseudoaneurysm of the mitral-aortic intervalvular fibrosa on a native aortic valve following infective endocarditis

Journal of Anesthesia volume 24, pages 260–263 (2010)Cite this article

Abstract

Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIVF) rarely forms on native aortic valve after infective endocarditis (IE). It is often fatal because of its rapid progress, high rates of rupture and recurrence, and worsening effects on the systemic condition. Echocardiography, especially transesophageal echocardiography, plays an important role in the diagnosis and assessment of this condition. We experienced a rare case of a patient with an unfortunate course following native aortic valve IE. After the patient had undergone surgical evacuation of a blood clot due to the rupturing of an embolomycotic cerebral aneurysm, a pseudoaneurysm of the MAIVF was found. Aortic valve replacement and pseudoaneurysm repair were performed 3 months after the neurosurgery. Echocardiographic still images were obtained during these two operations.

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Acknowledgments

Support was solely from institutional and/or departmental sources.

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Authors and Affiliations

  1. Department of Anesthesiology, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoji-ku, Osaka, Osaka, 543-8502, Japan

    Kayo Takimoto, Fumio Arai, Takashi Kita & Shigeta Sasaki

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  1. Kayo Takimoto
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  2. Fumio Arai
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  3. Takashi Kita
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  4. Shigeta Sasaki
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Correspondence to Kayo Takimoto.

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Takimoto, K., Arai, F., Kita, T. et al. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa on a native aortic valve following infective endocarditis. J Anesth 24, 260–263 (2010). https://doi.org/10.1007/s00540-010-0888-3

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  • DOI: https://doi.org/10.1007/s00540-010-0888-3

Keywords

  • Pseudoaneurysm
  • Infective endocarditis
  • Native aortic valve