Successful Resection of a Giant Left Ventricular Pseudoaneurysm Developed Later after Mitral Valve Replacement.
10.3346/jkms.2010.25.7.1080
- Author:
Sun Kyung MIN
1
;
Jung Ju SIR
;
Jong Chun NAH
;
Yong In KIM
Author Information
1. Cardiovascular Center, Department of Cardiovascular and Thoracic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea. lukeykim@yahoo.com
- Publication Type:Case Report ; Case Reports
- Keywords:
Aneurysm, False;
Postoperative Complications;
Mitral Valve
- MeSH:
*Aneurysm, False/etiology/pathology/surgery;
Female;
*Heart Aneurysm/etiology/pathology/surgery;
Heart Valve Prosthesis Implantation/*adverse effects;
Heart Ventricles/pathology/*surgery;
Humans;
Middle Aged;
Mitral Valve/*surgery;
Postoperative Complications/*surgery;
Treatment Outcome
- From:Journal of Korean Medical Science
2010;25(7):1080-1082
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of successful surgical resection of a giant left ventricular (LV) pseudoaneurysm that developed 5 yr after mitral valve replacement (MVR). A 59-yr-old female was admitted with exertional chest pain radiating to left arm and back. 64-slice multidetector computed tomography (MDCT) revealed significant stenosis on the ostium of the first diagonal branch of the left anterior descending coronary artery and also a huge pseudoaneurysm compressing the right atrium and the inferior vena cava. She underwent resection of the pseudoaneurysm, and the pseudoaneurysm tunnel was repaired from the inside of LV cavity by removing the previously inserted prosthetic valve, followed by redo MVR together with coronary arterial bypass grafting (CABG) for a single-vessel disease. At the 6-month follow-up, the patient continued to do well without any complications.
