title: Successful resection of a giant left ventricular pseudoaneurysm developed later after mitral valve replacement.
abstract: We present a case of successful surgical resection of a giant left ventricular (LV) pseudoaneurysm that developed 5 yr after mitral valve replacement (MVR). A 59-yr-old female was admitted with exertional chest pain radiating to left arm and back. 64-slice multidetector computed tomography (MDCT) revealed significant stenosis on the ostium of the first diagonal branch of the left anterior descending coronary artery and also a huge pseudoaneurysm compressing the right atrium and the inferior vena cava. She underwent resection of the pseudoaneurysm, and the pseudoaneurysm tunnel was repaired from the inside of LV cavity by removing the previously inserted prosthetic valve, followed by redo MVR together with coronary arterial bypass grafting (CABG) for a single-vessel disease. At the 6-month follow-up, the patient continued to do well without any complications.
authors.affiliation: Cardiovascular Center, Department of Cardiovascular and Thoracic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Sun Kyung
authors.initials: SK
authors.lastname: Min
authors.forename: Jung-Ju
authors.initials: JJ
authors.lastname: Sir
authors.forename: Jong-Chun
authors.initials: JC
authors.lastname: Nah
authors.forename: Yong-In L
authors.initials: YI
authors.lastname: Kim
mesh_terms: D017541:Aneurysm, False / Q000209:etiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology / Q000473:pathology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D016896:Treatment Outcome