Primary Infected Left Ventricular Pseudoaneurysm and the Use of Omental Flap

  • Giorgio Maria Aru Department of Surgery, University of Mississippi, Jackson, Mississippi, USA
  • Tad Kim Mayo Clinic, Rochester Medical Center, Rochester, Minnesota, USA
  • Roberto Giorgio Aru Department of Surgery, University of Mississippi, Jackson, Mississippi, USA
  • Mary Carolyn Vinson Department of Surgery, University of Mississippi, Jackson, Mississippi, USA

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.

Author Biographies

Giorgio Maria Aru, Department of Surgery, University of Mississippi, Jackson, Mississippi, USA
Department of Surgery, Professor
Tad Kim, Mayo Clinic, Rochester Medical Center, Rochester, Minnesota, USA
General Thoracic Surgery Clinical Fellowship
Roberto Giorgio Aru, Department of Surgery, University of Mississippi, Jackson, Mississippi, USA
School of Medicine
Mary Carolyn Vinson, Department of Surgery, University of Mississippi, Jackson, Mississippi, USA
Deprtment of Surgery, PGY-7

References

Aoyama T, Kawaguchi O, Teramoto T, et al. 2006. Successfully treated infected left ventricular pseudoaneurysm after Dor operation. Jpn J Thorac Cardiovasc Surg 54:128-31.

Dor V, Di Donato M, Sabatier M, Montiglio F, Civaia F. 2001. Left ventricular reconstruction by endoventricular circular patch plasty repair: a 17-year experience. Semin Thorac Cardiovasc Surg 13:435-47.

Schneiderman H, Bloom K, Shima M, Ezri M, Goldin M. 1984. Staphylococcal abscess complicating endocardial aneurysmectomy. Clin Cardiol 7:624-6

Published
2016-12-01
Section
Articles