Mitral-aortic Intervalvular Fibrosa Pseudoaneurysm with Dual Fistula and Complete AV Block after Aortic Valve Replacement in a Patients with Infective Endocarditis of Aortic Valve.
- Author:
Sun Jeong KIM
1
;
Su Hong KIM
;
Woo Seong JEON
;
Sung Hwan CHO
;
Ji Hyun LEE
;
O Kil KIM
;
Tae Joon CHA
;
Jae Woo LEE
Author Information
1. Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Endocarditis bacterial;
Complications;
Echocardiography;
Aneurysm false
- MeSH:
Abscess;
Aneurysm, False*;
Aortic Valve*;
Atrioventricular Block*;
Echocardiography;
Electrocardiography;
Endocarditis*;
Fistula*;
Humans
- From:Journal of Cardiovascular Ultrasound
2006;14(1):25-28
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The involvement of subaortic structures in the aortic valve endocarditis appears more common than previously recognized. The most common location of the subaortic complications is mitral-aortic intervalvular fibrosa(MAIVF) and the complications may be presented as abscess or pseudoaneurysm. We describe a case of infectious pseudoaneurysm of mitral-aortic intervalvular fibrosa mimicking abscess. In our case, complete AV block was revealed on ECG after aortic valve replacement (AVR). Several days after the first operation, re-do AVR and reconstruction of the MAIVF was performed because of complete AV block and dual fistula complicated by pseudoaneurysm in MAIVF.
