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An Unusual Localization of a Cardiac Pseudoaneurysm Complicated by Paravalvular Leak in a Patient with Prosthetic Heart Valves
Author(s) -
Vatankulu Mehmet A.,
Sönmez Osman,
Akkaya Mehmet,
Aydin Cemalettin
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13086
Subject(s) - medicine , cardiology , diastole , systole , pseudoaneurysm , leak , mitral valve , left atrium , aortic valve , mitral valve replacement , transesophageal echocardiogram , complication , blood pressure , environmental engineering , atrial fibrillation , engineering
Mini‐Abstract An 58‐year‐old male was admitted to the hospital with exertional dyspnea. He had a history of mitral and aortic valve replacement with St. Jude prosthetic valve twenty years ago. Transesophageal echocardiography showed paravalvular mitral leak and a false chamber, which was expanding during systole and communicating to the right atrium. Real time three‐dimensional transesophageal echocardiography demonstrated the origin and flap of the false lumen that was opening during ventricular systole and closing at ventricular diastole from the left ventricular inside. The patient underwent redo aortic and mitral valve surgery.