Surgical treatment for accidentally discovered pseudoaneurysm of the mitral-aortic intervalvular fibrosa with bicuspid aortic valve, ascending aortic aneurysm, and myocardial ischemia: a case report

Abstract Background Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is a rare complication infective endocarditis and aortic valve replacement. Ruptured P-MAIVF angina due to compression coronary arteries are severe complications this condition. Case presentation We report case that was diagnosed accidentally during routine checkup. The patient asymptomatic; however, she had systolic murmur. She history endocarditis, which treated conservatively without open-heart surgery. In addition, with stenosis, regurgitation, bicuspid valve, right artery an ascending aneurysm. surgery, involved patch closure replacement, bypass grafting, aorta After operation, echocardiography showed no leakage from P-MAIVF. Conclusions It necessary have knowledge Following up cases post-aortic replacement using important for both, diagnosing preventing serious such rupture angina.