Open AccessPseudoaneurysm of the mitral‐aortic intervalvular fibrosa with fistulous communication to the left atrium causing congestive heart failure
Author(s) -
Bagh Imad,
Marino Thomas M.,
Silbiger Jeffrey J.
Publication year - 2021
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.4301
Subject(s) - medicine , cardiology , ventricle , left atrium , heart failure , pseudoaneurysm , mitral regurgitation , shunting , complication , atrial fibrillation
Pseudoaneurysms of the mitral‐aortic intervalvular fibrosa can rupture and form fistulous communications between the left ventricle and left atrium. Pulmonary venous systolic flow reversal in such cases reflects elevated left atrial pressure due to shunting. This finding, particularly in the setting of endocarditis, is not specific for severe mitral regurgitation.