Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Left Ventricular Pseudo-pseudoaneurysm with Hemopericardium

  • Kim, Hye-Seon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Kyung-Hwan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Hwang, Ho-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2010.09.29
  • Accepted : 2011.05.10
  • Published : 2011.06.05
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Abstract

We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.

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References

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Cited by

  1. Left Ventricular “Pseudo-Pseudoaneurysm”: An Unusual Case of Focal Left Ventricular Noncompaction vol.41, pp.3, 2011, https://doi.org/10.14503/thij-13-3150
  2. Left Ventricular Pseudoaneurysm after Valve Replacement vol.48, pp.1, 2011, https://doi.org/10.5090/kjtcs.2015.48.1.63