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A Case of Left Ventricular Pseudoaneurysm in the Left Atrioventricular Groove after Mitral Valve Replacement

  • Jung, Hong-Soon (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Chung, Woo-Baek (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Yang, Keun-Suk (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Yang, Hae-Kyung (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Gweon, Tae-Geun (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Lee, Guk-Jin (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Hong, Ji-Hyung (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Jung, Jung-Im (Department of Radiology, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Song, Hyun (Department of Thoracic and Cardiovascular Surgery, School of Medicine, The Catholic University of Korea) ;
  • Youn, Ho-Joong (Division of Cardiology, Department of Internal Medicine, Cardiovascular Surgery, School of Medicine, The Catholic University of Korea)
  • Published : 2010.12.27

Abstract

Left ventricle-coronary sinus fistula and left ventricular pseudoaneurysm are unusual and frightening complications after mitral valve replacement. A 27-year-old female patient underwent mitral valve replacement 5 years previously and trans-thoracic echocardiography showed an outpouching lesion at the atrioventricular groove. It was difficult to differentiate whether the lesion was a left ventricle-coronary sinus fistula or a left ventricular pseudoaneurysm by two-dimensional echocardiography. Cardiac computed tomography confirmed a left ventricular pseudoaneurysm compressing the coronary sinus.

Keywords

References

  1. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998;32:557-61. https://doi.org/10.1016/S0735-1097(98)00290-3
  2. Ono M, Wolf RK. Left ventricular pseudoaneurysm late after mitral valve replacement. Ann Thorac Surg 2002;73:1303-5. https://doi.org/10.1016/S0003-4975(01)03268-4
  3. Sanisoglu I, Duran C, Sagbas E, Akpinar B. A left ventricular pseudoaneurysm due to mitral valve replacement. Eur J Cardiothorac Surg 2005; 27:713. https://doi.org/10.1016/j.ejcts.2005.01.025
  4. Cobbs BW Jr, Hatcher CR Jr, Craver JM, Jones EL, Sewell CW. Transverse midventricular disruption after mitral valve replacement. Am Heart J 1980;99:33-50.
  5. 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. https://doi.org/10.7326/0003-4819-128-4-199802150-00010
  6. Carlson EB, Wolfe WG, Kisslo J. Subvalvular left ventricular pseudoaneurysm after mitral valve replacement: two-dimensional echocardiographic findings. J Am Coll Cardiol 1985;6:1164-6. https://doi.org/10.1016/S0735-1097(85)80326-0
  7. Lichtenberg GS, Greengart A, Wasser H, Moran H, Hollander G, Shani J, Lichstein E. Echocardiographic demonstration of pseudoaneurysm after mitral valve replacement. Am Heart J 1986;112:417-8. https://doi.org/10.1016/0002-8703(86)90288-7
  8. Namboodiri N, Dora SK, Thomas B, Misra M. Subannular left ventricular pseudoaneurysm following mitral valve replacement. J Cardiothorac Surg 2008;3:28. https://doi.org/10.1186/1749-8090-3-28

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  2. Left ventricular pseudoaneurysm after mitral valve replacement : Review of pseudoaneurysms late after mitral valve replacement vol.40, pp.5, 2015, https://doi.org/10.1007/s00059-015-4302-7
  3. 0379 A Rare Case of Incidental Left Ventricular Pseudoaneurysm as a Complication of Mitral Valve Surgery vol.27, pp.suppl2, 2010, https://doi.org/10.1016/j.hlc.2018.06.380