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Ventricular pseudoaneurysm associated with severe mitral regurgitation

Nature Clinical Practice Cardiovascular Medicine volume 3, pages 283–287 (2006)Cite this article

Abstract

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.

Investigations Echocardiography and coronary angiography.

Diagnosis Ventricular pseudoaneurysm associated with mitral regurgitation after myocardial infarction.

Management 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.

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Figure 1: Transesophageal echocardiograms of a 77-year-old man with a non-ST-segment elevation myocardial infarction, congestive heart failure and cardiogenic shock.
Figure 2: Median sternotomy and pericardial dissection.
Figure 3: An intraoperative view of the left ventricle.
Figure 4: Repair of the resected pseudoaneurysm wall using a bovine pericardial patch.
Figure 5: Transesophageal echocardiography after repair of the pseudoaneurysm.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery at Stanford University School of Medicine, CA, USA

    Hari R Mallidi

  2. Program Director and Staff Surgeon at St Michael's Hospital, University of Toronto, ON, Canada

    David A Latter

Authors
  1. Hari R Mallidi
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  2. David A Latter
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Correspondence to David A Latter.

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The authors declare no competing financial interests.

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Mallidi, H., Latter, D. Ventricular pseudoaneurysm associated with severe mitral regurgitation. Nat Rev Cardiol 3, 283–287 (2006). https://doi.org/10.1038/ncpcardio0545

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  • DOI: https://doi.org/10.1038/ncpcardio0545

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