A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
| Autor: | Kirk Liesemer, Katherine Milbury, Corey R. O'Reilly, Eric Roberge |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Pediatric
medicine.medical_specialty business.industry R895-920 Clinical exam Case Report medicine.disease Surgery Coronary arteries Pseudoaneurysm Medical physics. Medical radiology. Nuclear medicine Pediatric patient Bicuspid aortic valve medicine.anatomical_structure Infective endocarditis cardiovascular system Medicine Pericardium Radiology Nuclear Medicine and imaging cardiovascular diseases Thrombus business Intervalvular Fibrosa |
| Zdroj: | Radiology Case Reports, Vol 17, Iss 1, Pp 68-71 (2022) Radiology Case Reports |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2021.09.060 |
| Popis: | Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a rare and potentially deadly aberrance of the cardiac architecture, with few reported pediatric cases. Complications can include rupture into the pericardium, ongoing infective endocarditis, arrhythmias, valvular dysfunction, thrombus formation, and compression of the coronary arteries. Although there have been cases which have gone solely with surveillance, the majority of these cases will have surgical intervention to reduce the risk of complications. We present a case in a pediatric patient with a history of bicuspid aortic valve, who presented with recurrent fevers after a dental procedure despite treatment with antibiotics. Infective endocarditis was suspected based on clinical exam, and imaging revealed pseudoaneurysm of the mitral-aortic intervalvular fibrosa. The patient was treated with surgical resection and homograft replacement. |
| Databáze: | OpenAIRE |
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