title: Surgical Repair of Huge Left Ventricular Pseudoaneurysm After Sutureless Repair of Free Wall Rupture.
abstract: Left ventricular pseudoaneurysm (LVPsA) is a rare complication after sutureless patch repair of left ventricular free wall rupture (LVFWR), with few cases reported in the literature so far. We present the case of a young patient who early developed a huge LVPsA and moderate mitral regurgitation after sutureless patch repair for LVFWR after undergoing a successful Dor procedure using the "triple empanada patch technique" to exclude the LVPsA, remodel the left ventricle, and address the moderate mitral regurgitation. Serial echocardiograms during follow-up are strongly recommended, even in patients with successful patch repair, to facilitate timely diagnosis and management.
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Díez-Villanueva
authors.affiliation: Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Anas
authors.initials: A
authors.lastname: Sarraj
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Navarrete
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Jorge
authors.initials: J
authors.lastname: Salamanca
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Pozo
authors.affiliation: Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Reyes
authors.affiliation: Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain. Electronic address: falf@hotmail.com.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alfonso
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D000072226:Computed Tomography Angiography / Q000379:methods; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging; D011300:Preoperative Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D000071062:Sutureless Surgical Procedures / Q000009:adverse effects; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods