Endocavitary patch repair for a left ventricular pseudoaneurysm: an alternative approach.
We present a case of postinfarction posterolateral left ventricular wall pseudoaneurysm with severe mitral regurgitation and poor left ventricular function. The patient had New York Heart Association (NYHA) class IV heart failure at the time of surgery, which was performed on an emergency basis. The surgical approach included coronary revascularization, surgical posterior mitral leaflet detachment with patch closure of the pseudoaneurysm neck from inside of the left ventricular cavity followed by mitral valve reconstruction, and subsequent implantation of a mitral annuloplasty ring.
Tarrio
Ruben F
RF
Department of Cardiovascular Surgery, Fundación Jiménez Díaz, Madrid, Spain. rutarrio@yahoo.es
Martinell
M Jorge
MJ
Moya
G Javier
GJ
Calderon
R Pilar
RP
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D011654:Pulmonary Edema / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D013524:Surgical Flaps; D016896:Treatment Outcome