J Cardiovasc Ultrasound.
2010 Dec;18(4):157-160. 10.4250/jcu.2010.18.4.157.
A Case of Left Ventricular Pseudoaneurysm in the Left Atrioventricular Groove after Mitral Valve Replacement
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul, Korea. younhj@catholic.ac.kr
- 2Department of Radiology, School of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, School of Medicine, The Catholic University of Korea, Seoul, Korea.
- KMID: 2177320
- DOI: http://doi.org/10.4250/jcu.2010.18.4.157
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.
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