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Hackett A, Kavanaugh-McHugh A, Parra DA. Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa Imitating a Rhabdomyoma in a Fetus. CASE (PHILADELPHIA, PA.) 2023; 7:429-432. [PMID: 38028383 PMCID: PMC10679539 DOI: 10.1016/j.case.2023.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
•P-MAIVF may present prenatally. •Location of and color flow into an atrial mass raises suspicion for P-MAIVF. •The natural history of this presentation is still uncertain.
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Affiliation(s)
- Alice Hackett
- Thomas P. Graham Division of Pediatric Cardiology, Department of Pediatrics, Monroe Carell Jr. Children’s Hospital, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Ann Kavanaugh-McHugh
- Thomas P. Graham Division of Pediatric Cardiology, Department of Pediatrics, Monroe Carell Jr. Children’s Hospital, Vanderbilt University Medical Center, Nashville, Tennessee
| | - David A. Parra
- Thomas P. Graham Division of Pediatric Cardiology, Department of Pediatrics, Monroe Carell Jr. Children’s Hospital, Vanderbilt University Medical Center, Nashville, Tennessee
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Otero Luna A, Park KB, Schauer J, Castera M, Quintana Grijalba C, Chikkabyrappa SM, Tjoeng YL, Romberg EK, Olson A, Glass IA, Young L. A unique cardiovascular presentation of Marfan syndrome. Am J Med Genet A 2022; 188:2443-2447. [PMID: 35679177 DOI: 10.1002/ajmg.a.62865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 04/19/2022] [Accepted: 05/06/2022] [Indexed: 11/11/2022]
Abstract
We report a neonate with severe Marfan syndrome (MS), prenatally identified to have persistent atrial tachycardia, biventricular dysfunction, and an unusual structure within the atria. Detailed postnatal echocardiographic evaluation and cross-sectional imaging confirmed congenital pseudoaneurysm of the mitral-aortic intervalvular fibrosa. Emergent testing by next-generation sequencing identified a FBN1 pathological variant, key to establishing goals of care. To our knowledge, this is the first reported case of a congenital pseudoaneurysm of the mitral-aortic intervalvular fibrosa in MS.
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Affiliation(s)
- Andrea Otero Luna
- Division of Pediatric Critical Care, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Kaylee B Park
- University of Washington School of Medicine, Seattle, Washington, USA
| | - Jenna Schauer
- Division of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Mark Castera
- Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Carolina Quintana Grijalba
- Division of Pediatric Critical Care, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Sathish Mallenahalli Chikkabyrappa
- Division of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Yuen Lie Tjoeng
- Division of Pediatric Critical Care, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Erin K Romberg
- Division of Radiology, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Aaron Olson
- Division of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
| | - Ian A Glass
- Division of Genetic Medicine, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, United States
| | - Luciana Young
- Division of Pediatric Cardiology, Department of Pediatrics, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA
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Bishara JA, Dobson C. A 16-Year Natural History of a Congenital Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa. JACC Case Rep 2022; 4:706-709. [PMID: 35734535 PMCID: PMC9207958 DOI: 10.1016/j.jaccas.2022.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 04/25/2022] [Accepted: 05/03/2022] [Indexed: 11/25/2022]
Abstract
Pseudoaneurysm of the mitral aortic intervalvular fibrosa is a rare condition most often reported as sequela of endocarditis and surgical trauma, with congenital cases being very uncommon. This case describes a congenital pseudoaneurysm of the mitral aortic intervalvular fibrosa and stable 16-year natural history. (Level of Difficulty: Intermediate.)
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Ahmed A, Shivaram P, Zakaria D. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa following endocarditis and aortic valve surgery in an infant-Case report and exhaustive systematic review of pediatric cases. Echocardiography 2020; 37:1495-1505. [PMID: 32860460 DOI: 10.1111/echo.14824] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 07/25/2020] [Accepted: 07/25/2020] [Indexed: 12/27/2022] Open
Abstract
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) continues to be a rare diagnosis in children. Etiology, presentation, and management strategies are considerably different from adults. We report a fatal case of P-MAIVF with classical transthoracic and transesophageal echocardiographic findings complemented by CT imaging. The natural course of uncomplicated/asymptomatic P-MAIVF is largely unknown since most patients are offered surgery. We present an extensive literature review of pediatric P-MAIVF and highlight important differences from the adult form of this disease.
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Affiliation(s)
- Aziez Ahmed
- Division of Pediatric Cardiac Critical Care, Children's Heart Center, Yale New Haven Children's Hospital, Yale University School of Medicine, New Haven, CT, USA
| | - Pushpa Shivaram
- Department of Pediatric Cardiology, Augusta University, Augusta, GA, USA
| | - Dala Zakaria
- Department of Pediatrics, Division of Cardiology, University of Arkansas for Medical Sciences and Arkansas Childrens Hospital, Little Rock, AR, USA
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Congenital pseudoaneurysm of the mitral-aortic intervalvular fibrosa with a 5 years’ follow up. Int J Cardiovasc Imaging 2018; 35:437-438. [DOI: 10.1007/s10554-018-1459-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Accepted: 09/17/2018] [Indexed: 11/26/2022]
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