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Resection and double pericardial patch repair of a congenital aneurysm of the mitral-aortic intervalvular fibrosa

Multimed Man Cardiothorac Surg. 2023 Aug 14;2023. doi: 10.1510/mmcts.2023.049.

ABSTRACT

Mitral-aortic intervalvular fibrosa aneurysms and pseudoaneurysms are rare entities but can lead to different, unpredictable and sometime dramatic complications. We report the case of a young woman presenting a congenital form of this aneurysm. Given the clinical and symptomatological progression, surgical treatment is mandatory. After a transverse aortotomy, we resected the aneurysm. Performing a pulmonary arteriotomy allows adequate control of the left main coronary artery, adjacent to the lesion. We repaired the remaining cavity, not far from the left coronary aortic cusp, with a double patch of bovine pericardium.

PMID:37578351 | DOI:10.1510/mmcts.2023.049