Journal of Cardiovascular Imaging

  • 제23권4호
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  • Pages.257-261
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  • 2015
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  • 2586-7210(pISSN)
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  • 2586-7296(eISSN)
한국심초음파학회 (Korean Society of Echocardiography)
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MITRAL-AORTIC INTERVALVULAR FIBROSA PSEUDOANEURYSM

  • 투고 : 2015.05.14
  • 심사 : 2015.11.18
  • 발행 : 2015.12.27
⟨ 이전 논문 다음 논문 ⟩

초록

Pseudoaneurysm of the mitral aortic intervalvular fibrosa (MAIVF-P) usually ensues as a complication of endocarditis or aortic valve surgery. When large, symptomatic or related to complications (rupture, compression of adjacent structures, embolic events, mitral regurgitation or heart failure) it warrants surgical excision. The natural course of uncomplicated/asymptomatic MAIVF-Ps is largely unknown since most patients are offered surgery. Increased surgical risk imposed by repeat operations in the majority of these patients is an important consideration and conservative treatment should not be excluded in selected cases. Herein we present two illustrative cases of MAIVF-P manifesting with significant arrhythmogenesis and complex endocarditis respectively. Both patients were managed conservatively. By briefly reviewing the existing literature, we discuss important diagnostic and therapeutic issues for MAIVF-Ps. To our knowledge complex ventricular arrhythmia has not been previously described as a prominent manifestation of MAIVF-P.

키워드

참고문헌

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피인용 문헌

  1. Imaging of Cardiac Infections : A Comprehensive Review and Investigation Flowchart for Diagnostic Workup vol.36, pp.5, 2015, https://doi.org/10.1097/rti.0000000000000552
  2. Native Aortic Valve Endocarditis Complicated by Splenic Infarction and Giant Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm-A Case Report and Brief Review of the Literature vol.11, pp.2, 2015, https://doi.org/10.3390/diagnostics11020251
  3. Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa with fistulous communication to the left atrium causing congestive heart failure vol.9, pp.6, 2021, https://doi.org/10.1002/ccr3.4301