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Eur J Cardiothorac Surg 2000;17:757-759
© 2000 Elsevier Science NL

Case report

Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation

^a Cardiology Department, Málaga University Hospital Virgen de la Victoria, Málaga University School of Medicine, Málaga, Spain
^b Cardiovascular Surgery Department, Málaga University Hospital Virgen de la Victoria, Málaga University School of Medicine, Málaga, Spain

Corresponding author
e-mail: sespinosac{at}meditex.es

Left ventricular outflow tract pseudoaneurysm is an uncommon but potentially catastrophic complication of aortic valve surgery, aortic valve endocarditis or chest trauma. We describe a case of a left ventricular outflow tract pseudoaneurysm 1 month after an aortic valve replacement that caused a systolic compression of mitral valve and a severe regurgitation. The diagnosis was confirmed using transoesophageal echocardiography, magnetic resonance image and intraoperative endoscopy. Surgical repair of the pseudoaneurysm corrected the mitral regurgitation.

Key Words: Left ventricular outflow tract pseudoaneurysm • Aortic valve replacement • Mitral regurgitation

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