Year : 2014  |  Volume : 17  |  Issue : 2  |  Page : 152--154

Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography


Shreedhar S Joshi1, Ashwini Thimmarayappa1, PS Nagaraja1, AM Jagadeesh1, Arul Furtado2, Seetharam Bhat2 
1 Department of Cardiac Anesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
2 Department of Cardiac Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India

Correspondence Address:
Shreedhar S Joshi
Department of Cardiac Anesthesia, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru - 560 069, Karnataka
India

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.


How to cite this article:
Joshi SS, Thimmarayappa A, Nagaraja P S, Jagadeesh A M, Furtado A, Bhat S. Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography.Ann Card Anaesth 2014;17:152-154


How to cite this URL:
Joshi SS, Thimmarayappa A, Nagaraja P S, Jagadeesh A M, Furtado A, Bhat S. Repair of recurrent pseudoaneurysm of the mitral-aortic intervalvular fibrosa: Role of transesophageal echocardiography. Ann Card Anaesth [serial online] 2014 [cited 2020 Jun 1 ];17:152-154
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=2;spage=152;epage=154;aulast=Joshi;type=0