Ventricular pseudoaneurysm associated with severe mitral regurgitation.
BACKGROUND
A 77-year-old man presented with non-ST-segment elevation myocardial infarction, congestive heart failure and cardiogenic shock. In the coronary care unit, the patient was initially stabilized by diuresis and afterload reduction. Six months previously he had experienced an episode of severe dyspnea, orthopnea and chest heaviness.


METHODS
Echocardiography and coronary angiography.


METHODS
Ventricular pseudoaneurysm associated with mitral regurgitation after myocardial infarction.


RESULTS
Pseudoaneurysm repair using a bovine pericardial patch, coronary artery bypass grafting of the left anterior descending and circumflex coronary artery and management of mitral regurgitation by ventricular remodeling.
Mallidi
Hari R
HR
Department of Cardiothoracic Surgery, Stanford University School of Medicine, CA, USA.
Latter
David A
DA
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery