Pseudoaneurysm of the Mitral-Aortic Fibrosa in the Absence of Valvulitis

Harshith Chandrakumar¹, Yuvraj Singh Chowdhury², Basil Elamir¹, Anoop Puskoor¹, Mrinali Shetty³, Krunal H. Patel¹, Azizul Rehman², Vaibhavi Uppin², Moro O. Salifu¹ and Samy I. McFarlane^1,

¹Department of Internal Medicine, State University of New York, Downstate- Health Science University, Brooklyn, NY, USA - 11203

²Division of Cardiovascular Disease, State University of New York, Downstate- Health Science University, Brooklyn, NY, USA - 11203

³Division of Cardiovascular Disease, University of Chicago (NorthShore), Evanston, IL, USA - 60201

Cite this paper

Harshith Chandrakumar, Yuvraj Singh Chowdhury, Basil Elamir, Anoop Puskoor, Mrinali Shetty, Krunal H. Patel, Azizul Rehman, Vaibhavi Uppin, Moro O. Salifu and Samy I. McFarlane. Pseudoaneurysm of the Mitral-Aortic Fibrosa in the Absence of Valvulitis. American Journal of Medical Case Reports. 2020; 8(12):478-480. doi: 10.12691/AJMCR-8-12-12

Abstract

The mitral-aortic intervalvular fibrosa (MAIVF) is the thin avascular fibrous structure located between the left side of the non-coronary cusp, the left coronary cusp and the anterior mitral leaflet. MAIVF pseudoaneurysm typically results as a complication of endocarditis, aortic valve surgery or chest trauma. We present a case of an incidental MAIF pseudoaneurysm in a 68-year female with a history of rheumatic fever without involvement of the mitral apparatus. We also discuss the presentation, evaluation and management of this rather rare valvular disorder.

Keywords

mitral-aortic intervalvular fibrosa, mitral valve, rheumatic fever, thrombus, anticoagulation, endocarditis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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