Korean J Thorac Cardiovasc Surg.  2011 Jun;44(3):247-249.

Left Ventricular Pseudo-pseudoaneurysm with Hemopericardium

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. kkh726@snu.ac.kr

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.

Keyword

Psendoaneurysm; Ventricular aneurysm; Myocardial infarction

MeSH Terms

Abscess
Aged
Aortic Valve
Cardiopulmonary Bypass
Dyspnea
Echocardiography
Endocarditis
Heart Ventricles
Humans
Magnetic Resonance Imaging
Mitral Valve Annuloplasty
Myocardial Infarction
Pericardial Effusion
Pericardium
Sutures
Thorax
Transplants
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