Journal of Anesthesia and Surgery
Pseudoaneurysm of mitral-aortic intervalvular fibrosa following regurgitation of congenital bicuspid aortic valve in a 63-year-old patient: a case report
- 1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041 China
- 2Department of Anesthesiology, Cheng Du Shang Jin Nan Fu Hospital, Chengdu, Sichuan, 610000 China
- #Li Zhou and Hong Chang contributed equally to this work
Chunling Jiang, Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041 China, Tel: 8618980601096, Fax: 862885423595; E-mail: email@example.com
Jiang, C., et al. Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa Following Regurgitation of Congenital Bicuspid Aortic Valve in a 63-Year-Old Patient: A Case Report. (2017) J Anesth Surg 4(1): 68-70.
© 2017 Jiang, C. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
KeywordsPseudoaneurysm of mitral aortic intervalvular fibrosa (P-MAIVF); Bicuspid aortic valve; Aortic regurgitation; Transesophageal echocardiography (TEE); Transthoracic echocardiogram (TTE)
Pseudoaneurysm of mitral aortic intervalvular fibrosa (P-MAIVF) is a rare but potentially catastrophic condition. P-MAIVF is often associated with infective endocarditis, aortic valve surgery or chest trauma. However, P-MAIVF attributed to congenital abnormality is even rarer. Here, we present a case of chronic, non-infective P-MAIVF associated with congenital bicuspid aortic valve. In the present case, there is neither a history nor sign suggesting infective endocarditis, nor positive blood or tissue culture results. The preoperative Transesophageal echocardiography (TEE) examination detected P-MAIVF with severe regurgitation of bicuspid aortic valve, which was misdiagnosed as pure bicuspid aortic valve regurgitation by transthoracic echocardiogram (TTE). Consequently, TEE provides valuable information on the diagnosis and choice of surgery for the patient.