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Pseudoaneurysm of the mitral-aortic intervalvular fibrosa following aortic valve replacement – diagnosis and dynamic evaluation with multidetector CT and transesophageal echocardiography

^a Department of Radiology, Rambam Medical Center, B. Rappaport-Faculty of Medicine, Technion-Israel Institute of Technology, P.O. Box 9602, Haifa 31096, Israel
^b Department of Cardiology, Rambam Medical Center, B. Rappaport-Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 31096, Israel
^c Department of Cardiac Surgery, Rambam Medical Center, B. Rappaport-Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 31096, Israel

*Corresponding author. Tel.: +972-4-854-3682; fax: +972-4-854-2690.

E-mail address: e_ghersin{at}rambam.health.gov.il (E. Ghersin).

Sixteen-slice multidetector CT findings of a pulsatile pseudoaneurysm of the mitral-aortic intervalvular fibrosa, in a woman following aortic valve replacement, are presented. Multidetector CT depicted the pseudoaneurysm and enabled dynamic evaluation of its lumen through the cardiac cycle, documenting expansion during systole and almost complete collapse during diastole. This case illustrates the capabilities of multidetector cardiac CT in the evaluation of aortic valve pathology.

Key Words: Multidetector CT; Echocardiography; Pseudoaneurysm; Mitral-aortic intervalvular fibrosa; Aortic valve; Aortic valve replacement