A rare complication of double prosthetic valve endocarditis; reconstructive surgical treatment of mitral‐aortic intervalvular fibrosa pseudoaneurysm and left atrial fistula. Issue 1 (5th December 2022)

• Record Type: Journal Article
• Authors: Kahraman, Nail; Topal, Dursun; Altunal, Ayşe Merve; Tiryakioğlu, Selma Kenar; Taner, Temmuz; Demir, Deniz; Levent Çetin, Mustafa
• Is Part Of: Echocardiography. Volume 40:Issue 1(2023)
• Page Start: 51
• Page End: 56
• Publication Date: 2022-12-05
• Subjects: aorto‐mitral curtain -- commando procedure -- double prosthetic valve endocarditis -- left atrial fistula -- persistent left superior vena cava -- pseudoaneurysm of mitral aortic intervalvular fibrosa; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.15469
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract: Mitral aortic intervalvular fibrosa or aorto‐mitral curtain is a fibrous avascular skeletal structure located between the anterior leaflet of the mitral valve and the non‐coronary and left coronary cusps of the aortic valve. Mitral and aortic valve endocarditis are rarely accompanied by mitral aortic intervalvular fibrosa pseudoaneurysm and left atrial fistula of the aorta. Pseudoaneurysm of mitral aortic intervalvular fibrosa is a fatal complication that can occur after valvular surgery, valvular endocarditis, or blunt trauma. In this article, reconstructive surgical management with the Commando technique of a case who developed mitral‐aortic intervalvular fibrosa pseudoaneurysm to left atrial fistula after aortic and mitral prosthetic valve endocarditis is described. The important feature of this article is that it is a first in the literature as it is accompanied by persistent left superior vena cava.