Cardiac Tamponade due to Left Ventricular Pseudoaneurysm After Aortic Valve Replacement

Authors

  • Onur Baydar
  • Ugur Coşkun
  • Betul Balaban
  • Gurkan Cetin
  • Inci Firatli
  • Murat Kazim Ersanli
  • Mehmet Serdar Kucukoglu

DOI:

https://doi.org/10.1532/HSF98.20121083

Abstract

Left ventricular outflow tract pseudoaneurysm is a rare but a potentially lethal complication, mainly after aortic root endocarditis or surgery. Usually, it originates from a dehiscence in the mitral-aortic intervalvular fibrosa and arises posteriorly to the aortic root. We report a rare case of a patient with cardiac tamponade due to left ventricular pseudoaneurysm after aortic valve replacement. The subsequent surgical resection was performed successfully.

References

Afridi I, Apostolidou MA, Saad RM, Zoghbi WA. 1995. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa: dynamic characterization using transesophageal echocardiographic and Doppler techniques. J Am Coll Cardiol 25:137-45.nBarbetseas J, Crawford ES, Safi HJ, Coselli JS, Quinones MA, Zoghbi WA. 1992. Doppler echocardiographic evaluation of pseudoaneurysms complicating composite grafts of the ascending aorta. Circulation 85:212-22.nBizzarri F, Braconi L, Rossi A, Sorbara C, Stefano PL. 2005. Left ventricular outflow tract false aneurysm late after aortic valve replacement. Heart Surg Forum 8:136-9.nGhersin E, Litmanovich D, Agmon Y, Milo S. 2005. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa following aortic valve replacement: diagnosis and dynamic evaluation with multidetector CT and transesophageal echocardiography. Interact Cardiovasc Thorac Surg 4:502-4.nGupta R, Jammula P, Huang MH, Atar S, Ahmad M. 2006. An unusual complication after aortic valve replacement. J Clin Ultrasound 34:361-4.nKouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB. 2003. Aortic valve disease. In: Kirklin JW, Kouchoukos NT, eds. Kirklin/Barratt-Boyes cardiac surgery: morphology, diagnostic criteria, natural history, techniques, results, and indications. 3rd ed. Philadelphia: Churchill Livingstone. p 554-6.nPongratz G, Pohlmann M, Gehling G, Bachmann K. 1997. Pseudoaneurysm in the intervalvular mitral-aortic region after endocarditis and prosthetic aortic valve replacement. Circulation 96:3241-2.nStiles GM, Kernen JA, Stiles QR. 1986. Suture technique in preventing dehiscence of prosthetic mitral valves. Arch Surg 121:1136-40.n

Published

2013-02-25

How to Cite

Baydar, O., Coşkun, U., Balaban, B., Cetin, G., Firatli, I., Ersanli, M. K., & Kucukoglu, M. S. (2013). Cardiac Tamponade due to Left Ventricular Pseudoaneurysm After Aortic Valve Replacement. The Heart Surgery Forum, 16(1), E49-E51. https://doi.org/10.1532/HSF98.20121083

Issue

Section

Article