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二尖瓣心内膜炎合并主动脉-左心室流出道瘘时，二尖瓣-主动脉瓣间纤维三角假性动脉瘤形成。

Pseudoaneurysm of mitro-aortic intervalvular fibrosa during the course of mitral valve endocarditis with aorto-left ventricle outflow tract fistula.

作者信息

Fazlinezhad A, Fatehi H, Tabaee S, Alavi M, Hoseini L, Yousefzadeh H

机构信息

Cardiovascular Research Center, Faculty of Medicine, Mashhad University of Medical Science (MUMS), Mashhad.

出版信息

J Saudi Heart Assoc. 2012 Jul;24(3):201-4. doi: 10.1016/j.jsha.2012.02.006. Epub 2012 Feb 13.

DOI:10.1016/j.jsha.2012.02.006
PMID:23960696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3727451/
Abstract

The mitro-aortic intervalvular fibrosa (MAIVF) connects the anterior mitral leaflet to the posterior portion of the aortic annulus. The pseudoaneurysm of MAIVF is one of the uncommon but catastrophic complications of native or prosthetic aortic valve endocarditis or chest trauma. We report a case of infective endocarditis of mitral valve complicated by development of pseudoaneurysm of MAIVF, and fistulous formation causing massive shunt flow from the ascending aorta above the non-coronary cusp to the left ventricle outflow tract.

摘要

二尖瓣-主动脉瓣间纤维组织（MAIVF）连接二尖瓣前叶与主动脉瓣环后部。MAIVF假性动脉瘤是天然或人工主动脉瓣心内膜炎或胸部创伤少见但灾难性的并发症之一。我们报告1例二尖瓣感染性心内膜炎合并MAIVF假性动脉瘤形成及瘘管形成，导致大量分流从非冠状动脉瓣上方的升主动脉流向左心室流出道。

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本文引用的文献

1
Pseudoaneurysm of mitral-aortic intervalvular fibrosa.二尖瓣-主动脉瓣间纤维性假性动脉瘤
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Value of repeated multiplane transesophageal echocardiography in a patient with mitral valve ring abscess and left ventricular pseudoaneurysm.重复多平面经食管超声心动图在二尖瓣环脓肿合并左心室假性动脉瘤患者中的价值
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5
Pseudoaneurysm in the mitral-aortic intervalvular fibrosa. A cause of mitral regurgitation.二尖瓣 - 主动脉瓣间纤维组织假性动脉瘤。二尖瓣反流的一个病因。
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6
Pseudoaneurysm of the left ventricle: a rare sequela to mitral valve endocarditis.左心室假性动脉瘤：二尖瓣心内膜炎的罕见后遗症。
Tex Heart Inst J. 1999;26(4):309-11.
7
Transesophageal echocardiographic recognition of subaortic complications in aortic valve endocarditis. Clinical and surgical implications.经食管超声心动图对主动脉瓣心内膜炎主动脉瓣下并发症的识别。临床及外科意义。
Circulation. 1992 Aug;86(2):353-62. doi: 10.1161/01.cir.86.2.353.