title: Dealing with a left ventricular pseudoaneurysm during assist device implant.
abstract: Despite increasing use of left ventricular devices for the surgical treatment of heart failure, there is limited experience with implantation of devices in the setting of challenging left apical anatomy. We report the case of a 68-year-old man with a chronic post-infarction calcified apical pseudoaneurysm, who underwent pseudoaneurysmectomy, ventricular myoplasty, and left ventricular assist device implantation. A review of the literature and operative strategies are presented.
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Richard V
authors.initials: RV
authors.lastname: Ha
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Chiu
authors.affiliation: Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Dipanjan
authors.initials: D
authors.lastname: Banerjee
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA asheikh@stanford.edu.
authors.forename: Ahmad Y
authors.initials: AY
authors.lastname: Sheikh
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Aneurysm; calcinosis; false; heart failure; heart-assist devices; prosthesis implantation