Surgical Repair of Huge Left Ventricular Pseudoaneurysm After Sutureless Repair of Free Wall Rupture

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• 作者：Pablo Dí ; ez-Villanueva ; MD^a ; Anas Sarraj ; MD ; PhD^b ; Gonzalo Navarrete ; MD^a ; Jorge Salamanca ; MD^a ; Eduardo Pozo ; MD ; PhD^a ; Guillermo Reyes ; MD^b ; Fernando Alfonso ; MD ; PhD^a ; ^{falf@hotmail.com}
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：103
• 期：2
• 页码：e157-e159
• 全文大小：730 K
• 卷排序：103

文摘

Left ventricular pseudoaneurysm (LVPsA) is a rare complication after sutureless patch repair of left ventricular free wall rupture (LVFWR), with few cases reported in the literature so far. We present the case of a young patient who early developed a huge LVPsA and moderate mitral regurgitation after sutureless patch repair for LVFWR after undergoing a successful Dor procedure using the “triple empanada patch technique” to exclude the LVPsA, remodel the left ventricle, and address the moderate mitral regurgitation. Serial echocardiograms during follow-up are strongly recommended, even in patients with successful patch repair, to facilitate timely diagnosis and management.