Left Ventricular Pseudoaneurysm after Aortic Valve Bypass Implantation

Mini‐ Aortic valve bypass (AVB)—a conduit from the apex of the left ventricle to the descending aorta containing a bioprosthetic valve—is a treatment option in severe aortic stenosis unsuitable for both surgical aortic valve replacement and transcatheter aortic valve replacement. An 82‐year‐old woma...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2015-09, Vol.32 (9), p.1444-1445
Main Authors: Søholm, Helle, Hassager, Christian, Vejlstrup, Niels, Arendrup, Henrik, Jensen, Maiken, Lund, Jens, Ihlemann, Nikolaj
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aneurysm, False - diagnosis
aortic stenosis
Aortic Valve - surgery
aortic valve prosthesis
Aortic Valve Stenosis - surgery
apical aneurysm
cardiac magnetic resonance imaging
Diagnosis, Differential
echocardiography
Female
Heart Valve Prosthesis Implantation
Heart Ventricles - diagnostic imaging
Heart Ventricles - pathology
Humans
Magnetic Resonance Imaging
Postoperative Complications - diagnosis
Ultrasonography
Citations: Items that this one cites
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Summary:Mini‐ Aortic valve bypass (AVB)—a conduit from the apex of the left ventricle to the descending aorta containing a bioprosthetic valve—is a treatment option in severe aortic stenosis unsuitable for both surgical aortic valve replacement and transcatheter aortic valve replacement. An 82‐year‐old woman with severe aortic stenosis, porcelain aorta, and limited vascular access had an AVB inserted successfully. Imaging 3 months after implantation revealed a pseudoaneurysm at the AVB insertion site. Due to comorbidity and advanced age, the patient has been treated conservatively. Procedures with transapical insertions such as TAVI or AVB can lead to pseudoaneurysms, and the diagnosis often requires multiple imaging modalities.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.12975