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Mitro‐aortic fibrosa pseudoaneurysm and concomitant aortic stenosis: How to kill two birds with a stone
Author(s) -
Boi Alberto,
Garau Giovanni,
Rossi Angelica,
Lixi Giovanni,
Armandi Laura,
Fele Giovanna Salvatorica,
Cossa Stefano,
Matta Gildo,
Manconi Manlio,
Sanna Francesco,
Loi Bruno
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14807
Subject(s) - medicine , concomitant , pseudoaneurysm , stenosis , ventricular outflow tract , cardiology , surgery , pulsatile flow , endocarditis , aortic valve replacement , aortic valve , complication
Pseudoaneurysm of mitral‐aortic intervalvular fibrosa (P‐MAIVF) is a rare acquired malformation of the mitral‐aortic intervalvular area. It appears as a pulsatile cavity in the mitral‐aortic junction communicating with the left ventricular outflow tract. P‐MAIVF has been reported as a complication of aortic and mitral valve surgery, infective endocarditis, and thoracic trauma. It is associated with life‐threatening complications. The recommended treatment is surgery, however, conservative therapy is an alternative approach for high‐risk patients or when surgical treatment is refused. We describe a successfully exclusion of a P‐MAIVF by transapical transcatheter aortic valve implantation in a patient with concomitant severe aortic stenosis.