Giant ventricular pseudoaneurysm and associated eccentric severe mitral regurgitation: Surgery or follow-up?

A ventricular pseudoaneurysm develops mainly after myocardial infarction complicated by a ventricular free wall rupture contained by localized pericardial adhesions. The risk of rupture in untreated pseudoaneurysms is approximately 30%-45%, and the mortality rate is 50%. Although there is no clear e...

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Bibliographic Details
Published in:Türk Kardiyoloji Derneği arşivi 2021-12, Vol.49 (8), p.688-692
Main Authors: Asil, Serkan, Veysel, Özgür Barış, Görmel, Suat, Çelik, Murat, Yüksel, Uygar Çağdaş
Format: Article
Language:English
Subjects:
Aneurysms
Asymptomatic
Blood clots
Cardiology
Coronary vessels
Diabetes
Ejection fraction
Heart attacks
Heart failure
Heart surgery
Medical imaging
Mortality
Patients
Pseudoaneurysm
Tomography
Transplants & implants
Veins & arteries
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Summary:A ventricular pseudoaneurysm develops mainly after myocardial infarction complicated by a ventricular free wall rupture contained by localized pericardial adhesions. The risk of rupture in untreated pseudoaneurysms is approximately 30%-45%, and the mortality rate is 50%. Although there is no clear evidence of treatment in the literature, the main suggestion is to perform surgical treatment without delay. However, the age of the patients, additional comorbidities, and the accompanying severe mitral regurgitation and left ventricular systolic dysfunction considerably increase the mortality rate of the surgical procedure. The treatment of left ventricular pseudoaneurysm accompanied by severe mitral regurgitation has not been clarified in the literature, and patient-based individual approaches vary. In this case report, the clinical course of the three patients was explained with different treatment approaches, and we tried to create a resource for treatment approaches in light of the literature.
ISSN:1016-5169
1308-4488
DOI:10.5543/tkda.2021.21148