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Case Reports
. 2010 Jul;25(7):1080-2.
doi: 10.3346/jkms.2010.25.7.1080. Epub 2010 Jun 17.

Successful resection of a giant left ventricular pseudoaneurysm developed later after mitral valve replacement

Sun Kyung Min  1 , Jung-Ju Sir, Jong-Chun Nah, Yong-In L Kim
Affiliations
Case Reports

Successful resection of a giant left ventricular pseudoaneurysm developed later after mitral valve replacement

Sun Kyung Min et al. J Korean Med Sci. 2010 Jul.

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.

Keywords: Aneurysm, False; Mitral Valve; Postoperative Complications.

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Figures

Fig. 1
Fig. 1
Two-dimensional transesophageal echocardiographic view of the left ventricular pseudoaneurysm (arrow).
Fig. 2
Fig. 2
Reconstructed 3D-computed tomography. The left ventricular pseudoaneurysm is indicated by an arrow.
Fig. 3
Fig. 3
Left ventricular pseudoaneurysm (arrow) from medial aspect of MVR site through tortuous tract.
See this image and copyright information in PMC

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