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An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
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Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa: A Long-Term Complication of Infective Endocarditis

Mehmet Agirbasli1, Bahaa M. Fadel

  • 1Stanford University, Falk Cardiovascular Research Center, 300 Pasteur Drive, Stanford, CA 94305-5406.

Echocardiography (Mount Kisco, N.Y.)
|February 15, 2001
PubMed

Insights

A rare left ventricular pseudoaneurysm developed from aortic valve endocarditis. This case highlights an unusual origin and chest wall erosion, presenting unique clinical challenges for pseudoaneurysm management.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • Pseudoaneurysms of the left ventricle are uncommon cardiac emergencies.
  • They can result from myocardial infarction, trauma, surgery, or endocarditis.
  • Endocarditis-related pseudoaneurysms typically occur at the heart's base.

Purpose of the Study:

  • To report a rare case of a large left ventricular pseudoaneurysm.
  • To describe its unique origin from the intervalvular fibrous body.
  • To highlight its unusual erosion through the chest wall.

Main Methods:

  • Case report presentation.
  • Review of clinical history and diagnostic imaging.
  • Surgical or interventional management discussion.

Main Results:

  • A large pseudoaneurysm developed as a complication of aortic valve endocarditis.
  • The pseudoaneurysm originated from the intervalvular fibrous body.
  • It eroded through the chest wall, causing cutaneous blood drainage.

Conclusions:

  • Aortic valve endocarditis can lead to rare left ventricular pseudoaneurysms.
  • This case demonstrates an atypical origin and significant local invasion.
  • Such cases require prompt diagnosis and tailored therapeutic strategies.

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