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3D Echocardiographic Delineation of Mitral-Aortic Intervalular Fibrosa Pseudoaneurysm Caused by Bicuspid Aortic Valve Endocarditis.
MedLine Citation:
PMID:  20584051     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare complication of infective endocarditis of the aortic valve eventually resulting in coronary artery compression, stroke or rupture into the left atrium, aorta or pericardial space. A prompt diagnosis by either transthoracic or transesophageal echocardiography is mandatory to address the patient to cardiac surgery. We report the clinical case of a 25-year-old white man who was admitted to the emergency department for dyspnoea and fever. Echocardiographic examination showed a bicuspid aortic valve with a huge sessile vegetation and a pseudaneurysm of the mitral-aortic intervalvular fibrosa. In addition to conventional two-dimensional examination, three-dimensional echocardiography provided additional information of this complication, precisely delineating the lesions and addressing the cardiac surgeon in choosing the most appropriate operating strategy. Patient underwent then aortic root replacement and the pseudoaneurysm was closed by means of a bovine pericardial patch. (Echocardiography 2011;28:E1-E4).
Authors:
Stefano Caselli; Giuseppe Mazzesi; Luigi Tritapepe; Antonio Barretta; Natesa G Pandian; Luciano Agati; Francesco Fedele
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  28     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-4     Citation Subset:  IM    
Copyright Information:
© 2010, Wiley Periodicals, Inc.
Affiliation:
Coronary Care Unit, Department of Cardiovascular and Respiratory Sciences, "Sapienza" University of Rome, Italy Tufts University Medical Center, Boston, Massachusetts.
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