Giant pseudoaneurysm that developed seven years after surgical repair of a postinfarction ventricular septal defect

Left ventricular pseudoaneurysm is a rare complication after myocardial infarction or cardiac surgery. An 88-year-old woman who developed a left ventricular pseudoaneurysm 7 years after the repair of a postinfarction ventricular septal defect was admitted to our hospital with a complaint of a pulsat...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2021-08, Vol.69 (8), p.1240-1242
Main Authors: Kawashima, Motoharu, Murakami, Hirohisa, Nomura, Yoshikatsu, Tanaka, Hiroshi
Format: Article
Language:English
Subjects:
Cardiac Surgery
Cardiology
Case Report
Conflicts of interest
Medical imaging
Medicine
Medicine & Public Health
Pseudoaneurysm
Surgery
Surgical Oncology
Thoracic Surgery
Tomography
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Summary:Left ventricular pseudoaneurysm is a rare complication after myocardial infarction or cardiac surgery. An 88-year-old woman who developed a left ventricular pseudoaneurysm 7 years after the repair of a postinfarction ventricular septal defect was admitted to our hospital with a complaint of a pulsatile epigastric mass, which had persisted for a month. Enhanced computed tomography revealed a large left ventricular pseudoaneurysm that extended to the subcutaneous epigastric tissue through the supra-diaphragmatic space. Dehiscence of the patch on the lateral side, which was used during previous surgery, provided the entry site. Surgical repair with aneurysm exclusion patch plasty was successful, and the patient was discharged without any complications.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-021-01637-x