A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient

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 for...

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Autores principales:	Katherine Milbury, DO, Corey O'Reilly, MD, Eric Roberge, MD, Kirk Liesemer, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Pediatric Pseudoaneurysm Intervalvular Fibrosa Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/8511792ec6c74706838f0d1824ec8000
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spelling	oai:doaj.org-article:8511792ec6c74706838f0d1824ec80002021-11-30T04:15:00ZA case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient1930-043310.1016/j.radcr.2021.09.060https://doaj.org/article/8511792ec6c74706838f0d1824ec80002022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007160https://doaj.org/toc/1930-0433Pseudoaneurysm 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.Katherine Milbury, DOCorey O'Reilly, MDEric Roberge, MDKirk Liesemer, MDElsevierarticlePediatricPseudoaneurysmIntervalvular FibrosaMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 68-71 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatric Pseudoaneurysm Intervalvular Fibrosa Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Pediatric Pseudoaneurysm Intervalvular Fibrosa Medical physics. Medical radiology. Nuclear medicine R895-920 Katherine Milbury, DO Corey O'Reilly, MD Eric Roberge, MD Kirk Liesemer, MD A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
description	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.
format	article
author	Katherine Milbury, DO Corey O'Reilly, MD Eric Roberge, MD Kirk Liesemer, MD
author_facet	Katherine Milbury, DO Corey O'Reilly, MD Eric Roberge, MD Kirk Liesemer, MD
author_sort	Katherine Milbury, DO
title	A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
title_short	A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
title_full	A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
title_fullStr	A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
title_full_unstemmed	A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
title_sort	case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/8511792ec6c74706838f0d1824ec8000
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A case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a pediatric patient

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