Native Aortic Valve Endocarditis Complicated by Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, vol.31, no.2, 2014 (SCI-Expanded)
- Publication Type: Article / Article
- Volume: 31 Issue: 2
- Publication Date: 2014
- Doi Number: 10.1111/echo.12431
- Journal Name: ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Keywords: pseudoaneurysm of mitral-aortic intervalvular fibrosa, bicuspid aortic valve, infective endocarditis, INFECTIVE ENDOCARDITIS, TRANSESOPHAGEAL ECHOCARDIOGRAPHY, NEUROLOGICAL COMPLICATIONS, CARDIAC-SURGERY, MANAGEMENT
- Akdeniz University Affiliated: No
Abstract
Pseudoaneurysm of mitral-aortic intervalvular fibrosa (PA-MAIVF) is a rare complication of native aortic valve endocarditis. This region is a relatively avascular area and prone to infection during endocarditis and subsequent aneurysm formation. The rupture into the pericardial cavity and left atrium or aorta, systemic embolism, myocardial infarction secondary to left coronary compression, and sudden death are the reported complications. Herein, we present a 9-year-old boy who was diagnosed with bicuspid aortic valve endocarditis complicated by PA-MAIVF, cerebral embolism, and hemorrhage. PA-MAIVF was visualized by both two- and three-dimensional transthoracic echocardiography and ruptured into pericardial space causing a fatal outcome.