Recurrence of left ventricular pseudoaneurysm after multiple mitral valve replacements
| Autor: | Olga Vriz, Abdullah Eltayeb, Afrah Alsomali, Sarah R Aldosari, Aly AlSanei, Ali AlEnazy, Maie Alshahid |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Pseudoaneurysm Left ventricular wall rupture Mitral valve replacement Cardiovascular Surgery Heart Ventricles Internal medicine Mitral valve medicine Humans Myocardial infarction cardiovascular diseases Heart Valve Prosthesis Implantation Tricuspid valve medicine.diagnostic_test business.industry Mitral Valve Insufficiency medicine.disease medicine.anatomical_structure Ventricle Heart failure Angiography Cardiology cardiovascular system Mitral Valve Medicine Female Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business Aneurysm False Echocardiography Transesophageal Artery |
| Zdroj: | Monaldi Archives for Chest Disease (2021) |
| Popis: | Left ventricular pseudoaneurysm (LVPA) formation is a potentially lethal complication of myocardial infarction (MI] and mitral valve (MV) replacement that requires prompt diagnosis and treatment. A female patient who had been complaining of exertional dyspnea underwent a two-dimensional transthoracic echocardiogram (TTE) which revealed a functioning mechanical MV with severe paravalvular leak, severe tricuspid regurgitation (TR) and severely elevated pulmonary artery systolic pressure. Moreover, echo-lucent space at the postero-lateral portion of the left ventricle near the MV was seen, suggestive of a large LVPA. Transesophageal echocardiography (TEE) and Computed Tomography (CT) angiography confirmed these findings. Afterwards, the patient had a surgical repair for the LVPA along with mitral and tricuspid valve (TV) replacement. Three months later, the patient presented with symptoms of congestive heart failure. The LVPA had recurred at the same location of the previous pseudoaneurysm and given the high risk for reoperating on the patient, close monitoring and medical management was deemed as a better option. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|