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CT and MRI features of pseudoaneurysms of the mitral-aortic intervalvular fibrosa
Shoen Choon Seng Low1, Anil Attili2, David Bach3
1FRCR, Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, 169608, Singapore.
Objective:
To describe the CT and MR features of pseudoaneurysms of the mitral-aortic intervalvular fibrosa (PMAIVF).
Materials And Methods:
This retrospective study included 9 patients with a diagnosis of PMAIVF who had CT or MRI within 3months of echocardiography. Echocardiography images were reviewed by a cardiologist and CT and MRI images were reviewed by two experienced cardiothoracic radiologists.
Results:
Recognizable imaging features of PMAIVFs were communication with the Left ventricular outflow tract, location between the anterior leaflet of the mitral valve and the aortic valve, systolic expansion and diastolic collapse.
Conclusion:
CT and MRI show characteristic appearances of PMAIVFs and are complementary to echocardiography.
Insights
Computed tomography (CT) and magnetic resonance (MR) imaging reveal characteristic features of pseudoaneurysms of the mitral-aortic intervalvular fibrosa (PMAIVF). These imaging modalities are valuable complements to echocardiography for diagnosing PMAIVF.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Surgery
Background:
- Pseudoaneurysms of the mitral-aortic intervalvular fibrosa (PMAIVF) are rare but potentially life-threatening cardiac abnormalities.
- Accurate diagnosis is crucial for timely intervention and management.
- Echocardiography is a primary diagnostic tool, but CT and MRI offer complementary information.
Purpose of the Study:
- To delineate the characteristic CT and MR imaging features of PMAIVF.
- To evaluate the role of CT and MRI in the diagnosis and characterization of PMAIVF.
Main Methods:
- Retrospective analysis of 9 patients diagnosed with PMAIVF.
- Review of CT and MRI scans obtained within 3 months of echocardiography.
- Independent review of imaging by a cardiologist and two cardiothoracic radiologists.
Main Results:
- Key imaging findings for PMAIVF include a communication with the left ventricular outflow tract.
- Characteristic location is between the anterior mitral valve leaflet and the aortic valve.
- Dynamic imaging reveals systolic expansion and diastolic collapse of the pseudoaneurysm.
Conclusions:
- CT and MRI demonstrate distinct and recognizable appearances of PMAIVF.
- These advanced imaging techniques are valuable adjuncts to echocardiography for PMAIVF diagnosis.
- Characteristic CT and MRI features aid in differentiating PMAIVF from other cardiac masses.
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