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.

Clinical Imaging
|September 15, 2017
PubMed
Abstract

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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