Successful repair of left ventricular pseudoaneurysm after mitral reoperation under hypothermic circulatory arrest

被引:3
作者
Hisao Suda
Kazuyuki Ikeda
Kazuyoshi Doi
Ryo Shiraishi
Kojiro Furukawa
Tsuyoshi Ito
机构
[1] Saga Medical School,Department of Thoraic and Cardiovascular Surgery
[2] Koseikai Hospital Cardiovascular Center,Department of Surgery
关键词
mitral valve replacement; left ventricular pseudoaneurysm; hypothermic circulatory arrest;
D O I
10.1007/s11748-003-0060-1
中图分类号
学科分类号
摘要
Successful repair of left ventricular (LV) pseudoaneurysm after mitral valve replacement (MVR) is uncommon, with delayed onset showing particularly high mortality. We report a case of delayed LV pseudoaneurysm onset after MVR reoperation. The patient had unique clinical symptoms, including coronary ischemia due to compression of the left main coronary artery by the aneurysm. Surgical repair was done using hypothermic circulatory arrest via left thoracotomy. The patient has experienced no cardiac events or pseudoaneurysm recurrence in the 7 years since surgery.
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页码:18 / 20
页数:2
相关论文
共 24 条
[1]
Björk VO(1977)Left ventricular rupture as a complication of mitral valve replacement: surgical experience with 8 cases and a review of the literature J Thorac Cardiovasc Surg 73 14-22
[2]
Henze A(1998)Left ventricular pseudoaneurysm J Am Coll Cardiol 32 557-61
[3]
Rodriguez L(1990)Pseudoaneurysm of the left ventricle following mitral valve replacement: report of 2 cases and review of the literature J Cardiovasc Surg 31 242-6
[4]
Frances C(1989)Ventricular psudoaneurysm associated with cardiopulmonary resuscitation 6 weeks after mitral valve replacement Ann Thorac Surg 48 719-20
[5]
Romero A(1994)Hypothermic circulatory arrest for cardiac valve replacement reoperations Ann Thorac Surg 57 1281-3
[6]
Grandy D(1993)Deep hypothermia with circulatory arrest: determinants of stroke and early mortality in 656 patients J Thorac Cardiovas Surg 106 19-31
[7]
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