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A rare case of mitro-aortic intervalvular fibrosa aneurysm evolving in the para-aortic cavity
Gian Luca Spadaro1, Roberto Zeppellini, Tiziana Rigo
1Department of Cardiology, Bassiano General Hospital, Verona, ITaly
Abstract:
The mitro-aortic intervalvular fibrosa (MAIF) connects the anterior mitral leaflet to the posterior portion of the aortic annulus. The aneurysms of MAIF represent a complication of aortic valve endocarditis, but blunt chest trauma, aortic valve replacement and congenital heart disease have also been reported as a cause. We describe a case of an aneurysm of MAIF, whose progression was documented by serial echocardiographic observations. To the best of our knowledge, this very rare occurrence has not been reported previously.
Insights
A rare aneurysm of the mitro-aortic intervalvular fibrosa (MAIF) was documented using serial echocardiography. This case highlights a very uncommon finding, previously unreported in medical literature.
Area of Science:
- Cardiovascular Medicine
- Cardiac Imaging
- Pathology
Background:
- The mitro-aortic intervalvular fibrosa (MAIF) is a crucial fibrous connection between the mitral valve and aortic annulus.
- MAIF aneurysms are typically linked to aortic valve endocarditis, though other causes exist.
- Etiologies include trauma, aortic valve surgery, and congenital heart disease.
Observation:
- This report details a rare case of a MAIF aneurysm.
- Serial echocardiographic imaging was utilized to monitor the aneurysm's progression.
- The documented progression of this rare cardiac anomaly is unique.
Findings:
- Aneurysm of the MAIF was identified and its development tracked over time.
- Echocardiography provided serial documentation of the MAIF aneurysm's evolution.
- This represents a previously undocumented occurrence of MAIF aneurysm progression.
Implications:
- This case expands the understanding of MAIF aneurysm presentations.
- Highlights the utility of echocardiography in diagnosing and monitoring rare cardiac pathologies.
- Contributes to the literature on rare cardiovascular complications and their imaging characteristics.
Related Concept Videos
Aneurysm I: Introduction
Mitral Stenosis I: Introduction
Mitral Valve Prolapse I: Introduction
Aneurysm III: Interprofessional Care
Aortic Regurgitation I: Introduction
Mitral Regurgitation I: Introduction

