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A case of echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa by infective endocarditis

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Abstract

This report describes an unusual case of ruptured pseudoaneurysm (PSA) of mitral-aortic intervalvular fibrosa (MAIVF) caused by infective endocarditis. The PSA ruptured into the left sinus of Valsalva in addition to the left atrium, resulting in complicated shunting among the aorta, left ventricle and left atrium, leading to refractory heart failure. The transesophageal echocardiography provided the precise information concerning the anatomical detail of the PSA, which is crucial for the surgical repair. This is the first report describing a patient with PSA of MAIVF with two rupture sites.

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Authors and Affiliations

  1. Department of Cardiology, Kitasato Institute Hospital, Kitasato University, 5-9-1 Shirokane, Minato-ku, Tokyo, 108-8642, Japan

    Miho Nakamura, Makoto Akaishi, Akiyasu Baba & Megumi Shimada

  2. Department of Cardiology, Tachikawa Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Tokyo, Japan

    Kazunori Moritani

  3. Department of Cardiovascular Surgery, Keio University, Tokyo, Japan

    Ryohei Yozu

Authors
  1. Miho Nakamura
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  2. Makoto Akaishi
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  3. Akiyasu Baba
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  4. Megumi Shimada
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  5. Kazunori Moritani
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  6. Ryohei Yozu
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Correspondence to Makoto Akaishi.

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Nakamura, M., Akaishi, M., Baba, A. et al. A case of echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa by infective endocarditis. J Echocardiogr 7, 55–57 (2009). https://doi.org/10.1007/s12574-009-0010-8

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  • DOI: https://doi.org/10.1007/s12574-009-0010-8

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