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Mitral-aortic intervalvular pseudoaneurysm with ventricular septal defect

Shu Yamamoto1, Takeo Tedoriya, Zenichi Masuda

  • 1Department of Cardiovascular Surgery, Kure Kyousai Hospital, 2-3-28 Nishichuo, Kure City, Hiroshima 737-8505, Japan. Yamamotoshu@aol.com

Asian Cardiovascular & Thoracic Annals
|March 23, 2006
PubMed

Insights

A woman with a history of childhood ventricular septal defect repair experienced cardiac issues, including a pseudoaneurysm. Successful surgical repair of the pseudoaneurysm and residual septal defect resolved her cardiac failure symptoms.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • A 35-year-old woman presented with a history of childhood ventricular septal defect (VSD) repair at age 7.
  • A residual shunt was identified years after the initial VSD surgery, leading to nonsurgical follow-up.
  • The patient experienced cardiac failure symptoms during two pregnancies, necessitating further cardiac evaluation.

Observation:

  • Echocardiography revealed a pseudoaneurysm of the mitral-aortic intervalvular fibrosa.
  • The imaging also confirmed a residual ventricular septal defect and significant aortic regurgitation.
  • These findings indicated a complex cardiac anomaly arising from the prior VSD repair.

Findings:

  • The pseudoaneurysm, residual VSD, and aortic regurgitation were successfully repaired surgically.
  • The intervention aimed to address the structural abnormalities and alleviate the patient's symptoms.
  • Post-operative outcomes were positive, with resolution of the cardiac failure.

Implications:

  • This case highlights the potential long-term complications of VSD repair, including pseudoaneurysm formation.
  • Timely diagnosis and surgical intervention are crucial for managing complex residual cardiac defects.
  • Successful repair can significantly improve quality of life and prevent further cardiac decompensation.

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