title: Primary Infected Left Ventricular Pseudoaneurysm and the Use of Omental Flap.
abstract: A 55-year-old man with autoimmune deficiency syndrome presented with an infected left ventricular pseudoaneurysm and sepsis. The aneurysmectomy consisted of a Dor-style pericardial patch plus debridement of the abscess cavities. The infected pseudoaneurysm recurred, much larger, within five months due to persistent infected abscess cavities. The second repair was done without a Dor-style patch and with an omental flap. No recurrence has occurred one year after the second repair, but the patient has asymptomatic, partial gastric herniation inside the pericardium. This is the first description of a primary infected left ventricular pseudoaneurysm. The omental flap contributed to the successful treatment.
authors.affiliation: Department of Surgery, University of Mississippi, Jackson, Mississippi, USA.
authors.forename: Giorgio Maria
authors.initials: GM
authors.lastname: Aru
authors.affiliation: Mayo Clinic, Rochester Medical Center, Rochester, Minnesota, USA.
authors.forename: Tad
authors.initials: T
authors.lastname: Kim
authors.affiliation: Department of Surgery, University of Mississippi, Jackson, Mississippi, USA.
authors.forename: Roberto Giorgio
authors.initials: RG
authors.lastname: Aru
authors.affiliation: Department of Surgery, University of Mississippi, Jackson, Mississippi, USA.
authors.forename: Mary Carolyn
authors.initials: MC
authors.lastname: Vinson
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D006322:Heart Aneurysm / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed