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Published in: General Thoracic and Cardiovascular Surgery 4/2016

01-04-2016 | Case Report

Left ventricular pseudoaneurysm after reimplantation procedure

Authors: Takahiro Inoue, Kazuhiro Hashimoto, Yoshimasa Sakamoto, Michio Yoshitake, Yoko Matsumura, Hiroo Kinami, Tomomitsu Takagi

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2016

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Abstract

Postoperative left ventricular pseudoaneurysm is a rare, but potentially lethal, complication because of the high risk of rupture and high mortality of repair. We report a 64-year-old man with Marfan syndrome who underwent the reimplantation valve-sparing aortic root replacement complicated by a postoperative left ventricular pseudoaneurysm that required urgent repair. Careful handling of the aortic root is required to avoid a left ventricular pseudoaneurysm, particularly in patients with connective tissue disorder.
Literature
1.
go back to reference Pretre R, Linka A, Jenni R, Turina MI. Surgical treatment of acquired left ventricular pseudoaneurysm. Ann Thorac Surg. 2000;70:553–7.CrossRefPubMed Pretre R, Linka A, Jenni R, Turina MI. Surgical treatment of acquired left ventricular pseudoaneurysm. Ann Thorac Surg. 2000;70:553–7.CrossRefPubMed
2.
go back to reference Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128:299–305.CrossRefPubMed Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128:299–305.CrossRefPubMed
3.
go back to reference Da Col U, Ramoni E, Di Bella I, Ragni T. An unusual left ventricular outflow pseudoaneurysm: usefulness of echocardiography and multidetector computed tomography for surgical repair. Cardiovasc Intervent Radiol. 2009;32:188–91.CrossRefPubMed Da Col U, Ramoni E, Di Bella I, Ragni T. An unusual left ventricular outflow pseudoaneurysm: usefulness of echocardiography and multidetector computed tomography for surgical repair. Cardiovasc Intervent Radiol. 2009;32:188–91.CrossRefPubMed
4.
go back to reference Tsai IC, Hsieh SR, Chern MS, Huang HT, Chen MC, Tsai WL, et al. Pseudoaneurysm in the left ventricular outflow tract after prosthetic aortic valve implantation. Tex Heart Inst J. 2009;36:428–32.PubMedPubMedCentral Tsai IC, Hsieh SR, Chern MS, Huang HT, Chen MC, Tsai WL, et al. Pseudoaneurysm in the left ventricular outflow tract after prosthetic aortic valve implantation. Tex Heart Inst J. 2009;36:428–32.PubMedPubMedCentral
5.
go back to reference Aoyagi S, Fukunaga S, Otsuka H, Akaiwa K, Yokokura Y, Yokokura H. Left ventricular outflow tract pseudoaneurysm after aortic valve replacement: case report. J Heart Valve Dis. 2004;13:145–8.PubMed Aoyagi S, Fukunaga S, Otsuka H, Akaiwa K, Yokokura Y, Yokokura H. Left ventricular outflow tract pseudoaneurysm after aortic valve replacement: case report. J Heart Valve Dis. 2004;13:145–8.PubMed
6.
go back to reference Settepani F, Szeto WY, Pacini D, De Paulis R, Chiariello L, Di Bartolomeo R, et al. Reimplantation valve-sparing aortic root replacement in Marfan syndrome using the Valsalva conduit: an intercontinental multicenter study. Ann Thorac Surg. 2007;83:S769–73.CrossRefPubMed Settepani F, Szeto WY, Pacini D, De Paulis R, Chiariello L, Di Bartolomeo R, et al. Reimplantation valve-sparing aortic root replacement in Marfan syndrome using the Valsalva conduit: an intercontinental multicenter study. Ann Thorac Surg. 2007;83:S769–73.CrossRefPubMed
7.
go back to reference Hanke T, Charitos EI, Stierle U, Robinson D, Gorski A, Sievers HH, et al. Factors associated with the development of aortic valve regurgitation over time after two different techniques of valve-sparing aortic root surgery. J Thorac Cardiovasc Surg. 2009;137:314–9.CrossRefPubMed Hanke T, Charitos EI, Stierle U, Robinson D, Gorski A, Sievers HH, et al. Factors associated with the development of aortic valve regurgitation over time after two different techniques of valve-sparing aortic root surgery. J Thorac Cardiovasc Surg. 2009;137:314–9.CrossRefPubMed
8.
go back to reference Kvitting JPE, Kari FA, Fischbein MP, Liang DH, Beraud AS, Stephens EH, et al. David valve-sparing aortic root replacement: equivalent mid-term outcome for different valve types with or without connective tissue disorder. J Thorac Cardiovasc Surg. 2013;145:117–27.CrossRefPubMed Kvitting JPE, Kari FA, Fischbein MP, Liang DH, Beraud AS, Stephens EH, et al. David valve-sparing aortic root replacement: equivalent mid-term outcome for different valve types with or without connective tissue disorder. J Thorac Cardiovasc Surg. 2013;145:117–27.CrossRefPubMed
Metadata
Title
Left ventricular pseudoaneurysm after reimplantation procedure
Authors
Takahiro Inoue
Kazuhiro Hashimoto
Yoshimasa Sakamoto
Michio Yoshitake
Yoko Matsumura
Hiroo Kinami
Tomomitsu Takagi
Publication date
01-04-2016
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 4/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-014-0432-8

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