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Case Reports
. 2015 Feb;48(1):63-6.
doi: 10.5090/kjtcs.2015.48.1.63. Epub 2015 Feb 5.

Left ventricular pseudoaneurysm after valve replacement

Jun Ho Lee  1 , Seok Chol Jeon  2 , Hyo-Jun Jang  3 , Won-Sang Chung  1 , Young Hak Kim  1 , Hyuck Kim  1
Affiliations
Case Reports

Left ventricular pseudoaneurysm after valve replacement

Jun Ho Lee et al. Korean J Thorac Cardiovasc Surg. 2015 Feb.

Abstract

We present a case of left ventricular pseudoaneurysm, which is a very rare and fatal complication of cardiac procedures such as mitral valve replacement. A 55-year-old woman presented to the Department of Thoracic and Cardiovascular Surgery at Hanyang University Seoul Hospital with chest pain. Ten years prior, the patient had undergone double valve replacement due to aortic regurgitation and mitral steno-insufficiency. Surgical repair was successfully performed using a prosthetic pericardial patch via a left lateral thoracotomy.

Keywords: Left ventricular pseudoaneurysm; Left ventricular rupture; Mitral valve, replacement.

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Figures

Fig. 1
Fig. 1
Preoperative coronary computed tomography (CT) angiography. (A) The location of the leak in the left ventricle is the sub-mitral valve prosthesis area. (B) Three large lobulated aneurysms are seen bulging from the base of the left ventricle with calcified walls. (C, D) Three-dimensional reconstruction of preoperative coronary CT angiography. PsA, pseudoaneurysm; LV, left ventricle; AV, aortic valve; MV, mitral valve; DAo, descending aorta.
Fig. 2
Fig. 2
(A, B) Postoperative coronary computed tomographic angiography. There is no evidence of recurrence of the pseudoaneurysm. The arrows show no leakage at the closed aneurysmal neck.
See this image and copyright information in PMC

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