Department of Anesthesiology, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoji-ku, Osaka, Osaka, 543-8502, Japan.
J Anesth. 2010 Apr;24(2):260-3. doi: 10.1007/s00540-010-0888-3. Epub 2010 Feb 24.
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (MAIVF) rarely forms on native aortic valve after infective endocarditis (IE). It is often fatal because of its rapid progress, high rates of rupture and recurrence, and worsening effects on the systemic condition. Echocardiography, especially transesophageal echocardiography, plays an important role in the diagnosis and assessment of this condition. We experienced a rare case of a patient with an unfortunate course following native aortic valve IE. After the patient had undergone surgical evacuation of a blood clot due to the rupturing of an embolomycotic cerebral aneurysm, a pseudoaneurysm of the MAIVF was found. Aortic valve replacement and pseudoaneurysm repair were performed 3 months after the neurosurgery. Echocardiographic still images were obtained during these two operations.
二尖瓣-主动脉瓣间隔纤维假瘤（MAIVF）的假性动脉瘤在感染性心内膜炎（IE）后于原生主动脉瓣上很少形成。由于其进展迅速、破裂和复发率高，以及对全身状况的恶化影响，因此通常是致命的。超声心动图，特别是经食管超声心动图，在该疾病的诊断和评估中发挥着重要作用。我们遇到了一例罕见的原生主动脉瓣 IE 患者，其病情不幸恶化。在患者因栓塞性脑动脉瘤破裂而接受手术清除血栓后，发现 MAIVF 假性动脉瘤。神经手术后 3 个月进行了主动脉瓣置换和假性动脉瘤修复。这两次手术期间都获得了超声心动图的静态图像。
