Left Ventricular Pseudo-pseudoaneurysm with Hemopericardium.
- Author:
Hye seon KIM
1
;
Kyung Hwan KIM
;
Ho Young HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. kkh726@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Psendoaneurysm;
Ventricular aneurysm;
Myocardial infarction
- MeSH:
Abscess;
Aged;
Aortic Valve;
Cardiopulmonary Bypass;
Dyspnea;
Echocardiography;
Endocarditis;
Heart Ventricles;
Humans;
Magnetic Resonance Imaging;
Mitral Valve Annuloplasty;
Myocardial Infarction;
Pericardial Effusion;
Pericardium;
Sutures;
Thorax;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2011;44(3):247-249
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.
