XXXX : survival without reoperation.

@entity1 @entity339 @entity299 @entity2849 @entity884
BACKGROUND: the tissue spanning the mitral and aortic valves, the mitral-aortic intervalvular fibrosa (MAIVF), may be the site of @entity2849 formation in the setting of @entity884 or @entity299 , or after valve surgery. Because of potential complications of @entity339 , @entity1 with such lesions are often referred for surgical repair. METHODS: we identified 3 individuals with @entity339 who were followed without surgical intervention after diagnosis of the MAIVF @entity2849 . The courses of these @entity1 are presented below. RESULTS: the @entity339 were measured to be stable in size over several years among 3 @entity1 . Dimensions were 5.3   2.3, 7.6   4.9, and 4.8   2.5 cm. Surgical repair was considered too high a risk in 2 of the individuals, and the third individual refused a third surgical intervention. Of the 3 @entity1 , 2 remain asymptomatic. The third @entity1 was 87 years old when her MAIVF @entity2849 was diagnosed, and she died of noncardiac causes at age 92 years. CONCLUSIONS: clinical surveillance and serial imaging of MIAVF @entity2849 may be considered an alternative to surgical management in select individuals.
