A Serious Complication Late After Mitral Valve Replacement: Left Ventricular Rupture with Pseudoaneurysm

A Serious Complication Late After Mitral Valve Replacement: Left Ventricular Rupture with Pseudoaneurysm

We report a left ventricular pseudoaneurysm, an unusual complication of mitral valve replacement (MVR) in a 65-year-old man who had undergone coronary artery bypass grafting and MVR surgery two years ago. The patient was referred to our clinics because of progressive exertional dyspnea and palpitati...

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Veröffentlicht in:Journal of the American Society of Echocardiography 2008-10, Vol.21 (10), p.1178.e1-1178.e3
Hauptverfasser: Biyikoglu, Senay Funda, MD, Guray, Yesim, MD, Turkvatan, Aysel, MD, Boyaci, Ayca, MD, Katircioglu, Fehmi, MD
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Cardiovascular
Computerized tomography angiography
Echocardiography
Heart Injuries - diagnostic imaging
Heart Injuries - etiology
Heart Valve Prosthesis - adverse effects
Heart Valve Prosthesis Implantation - adverse effects
Heart Ventricles - diagnostic imaging
Heart Ventricles - injuries
Humans
Male
Mitral Valve - diagnostic imaging
Mitral valve replacement
Pseudoaneurysm
Rupture - diagnostic imaging
Rupture - etiology
Ultrasonography
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Zusammenfassung:We report a left ventricular pseudoaneurysm, an unusual complication of mitral valve replacement (MVR) in a 65-year-old man who had undergone coronary artery bypass grafting and MVR surgery two years ago. The patient was referred to our clinics because of progressive exertional dyspnea and palpitations. Transthoracic and transesophageal echocardiography showed a large pseudoaneurysm of the posterolateral left ventricular wall and computerized tomographic angiography (CTA) demonstrated the location and the size of the pseudoaneurysm and its neck. Urgent surgical repair was accomplished without complications.
ISSN:0894-7317
1097-6795
DOI:10.1016/j.echo.2007.11.012