Ventricular pseudoaneurysm associated with cardiopulmonary resuscitation 6 weeks after mitral valve replacement.
Trauma to the heart and mediastinum is associated with external cardiac massage. A patient had undergone a redo mitral valve replacement and experienced an uneventful postoperative course. During a visit to her physician 6 weeks after operation, she experienced ventricular fibrillation that required external cardiac massage and subsequent defibrillation. Postresuscitation evaluation revealed a posterior pseudoaneurysm of the ventricle. This was repaired via a transthoracic approach with the use of profound hypothermia.
Chatson
G
G
Department of Surgery, Hartford Hospital, Connecticut.
Gallagher
R
R
Quahliero
D
D
Ruffett
D
D
Allmendinger
P
P
D000368:Aged; D004554:Electric Countershock / Q000009:adverse effects; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology*; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006336:Heart Massage / Q000009:adverse effects; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve; D011183:Postoperative Complications; D012151:Resuscitation / Q000009:adverse effects*; D013997:Time Factors