Percutaneous closure of left ventricular pseudoaneurysm
CASE PRESENTATION This is the case of a 72-year-old woman with a past medical history of permanent atrial fibrillation treated with acenocoumarol, and rheumatic valvular heart disease that appears as a double severe mitral lesion and severe tricuspid regurgitation due to annular dilatation with dysp...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Permanyer
2022-08-01
|
| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=888 |
| _version_ | 1818002100835057664 |
|---|---|
| author | Lola Gutiérrez Alonso Dabit Arzamendi Aizpurua Xavier Millán Álvarez Lluis Asmarats Serra Mario Torres Sanabria Chi Hion Li |
| author_facet | Lola Gutiérrez Alonso Dabit Arzamendi Aizpurua Xavier Millán Álvarez Lluis Asmarats Serra Mario Torres Sanabria Chi Hion Li |
| author_sort | Lola Gutiérrez Alonso |
| collection | DOAJ |
| description | CASE PRESENTATION This is the case of a 72-year-old woman with a past medical history of permanent atrial fibrillation treated with acenocoumarol, and rheumatic valvular heart disease that appears as a double severe mitral lesion and severe tricuspid regurgitation due to annular dilatation with dyspnea-like symptoms. The cardiologic examination completed before planning valve replacement surgery discarded the presence of coronary lesions. The case was presented to the medical-surgical committee and approved for mitral valve replacement, and tricuspid annuloplasty. Procedure was performed electively with a 25 mm On-X 25 prosthetic mechanical mitral valve (Life Technologies, GA, United States) followed by tricuspid annuloplasty with annular prosthesis. After weaning from extracorporeal support and circulation machine, a hemorrhage was revealed due to the rupture of the atrioventricular groove in the vicinity of left atrial appendage that was repaired with suture reinforcement on the pericardium and Teflon until achieving hemostasis. In this context, the patient showed hemodynamic impairment, and ventricular function deterioration that required escalating the inotropic support, and intra-aortic balloon pump implantation. The postoperative period at the critical care unit was torpid. Five days after surgery, the patient broke a fever in the context of ventilator-associated pneumonia. That is why a thoracic computed tomography scan was performed... |
| first_indexed | 2024-04-14T03:41:32Z |
| format | Article |
| id | doaj.art-888893d1c8b94697af512fabcf7ef2d7 |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-04-14T03:41:32Z |
| publishDate | 2022-08-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-888893d1c8b94697af512fabcf7ef2d72022-12-22T02:14:30ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222022-08-014325125610.24875/RECICE.M22000284Percutaneous closure of left ventricular pseudoaneurysmLola Gutiérrez Alonso0Dabit Arzamendi Aizpurua1Xavier Millán Álvarez2Lluis Asmarats Serra3Mario Torres Sanabria4Chi Hion Li5Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainUnidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainUnidad de Imagen Cardiaca, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainCASE PRESENTATION This is the case of a 72-year-old woman with a past medical history of permanent atrial fibrillation treated with acenocoumarol, and rheumatic valvular heart disease that appears as a double severe mitral lesion and severe tricuspid regurgitation due to annular dilatation with dyspnea-like symptoms. The cardiologic examination completed before planning valve replacement surgery discarded the presence of coronary lesions. The case was presented to the medical-surgical committee and approved for mitral valve replacement, and tricuspid annuloplasty. Procedure was performed electively with a 25 mm On-X 25 prosthetic mechanical mitral valve (Life Technologies, GA, United States) followed by tricuspid annuloplasty with annular prosthesis. After weaning from extracorporeal support and circulation machine, a hemorrhage was revealed due to the rupture of the atrioventricular groove in the vicinity of left atrial appendage that was repaired with suture reinforcement on the pericardium and Teflon until achieving hemostasis. In this context, the patient showed hemodynamic impairment, and ventricular function deterioration that required escalating the inotropic support, and intra-aortic balloon pump implantation. The postoperative period at the critical care unit was torpid. Five days after surgery, the patient broke a fever in the context of ventilator-associated pneumonia. That is why a thoracic computed tomography scan was performed...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=888 |
| spellingShingle | Lola Gutiérrez Alonso Dabit Arzamendi Aizpurua Xavier Millán Álvarez Lluis Asmarats Serra Mario Torres Sanabria Chi Hion Li Percutaneous closure of left ventricular pseudoaneurysm REC: Interventional Cardiology (English Ed.) |
| title | Percutaneous closure of left ventricular pseudoaneurysm |
| title_full | Percutaneous closure of left ventricular pseudoaneurysm |
| title_fullStr | Percutaneous closure of left ventricular pseudoaneurysm |
| title_full_unstemmed | Percutaneous closure of left ventricular pseudoaneurysm |
| title_short | Percutaneous closure of left ventricular pseudoaneurysm |
| title_sort | percutaneous closure of left ventricular pseudoaneurysm |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=888 |
| work_keys_str_mv | AT lolagutierrezalonso percutaneousclosureofleftventricularpseudoaneurysm AT dabitarzamendiaizpurua percutaneousclosureofleftventricularpseudoaneurysm AT xaviermillanalvarez percutaneousclosureofleftventricularpseudoaneurysm AT lluisasmaratsserra percutaneousclosureofleftventricularpseudoaneurysm AT mariotorressanabria percutaneousclosureofleftventricularpseudoaneurysm AT chihionli percutaneousclosureofleftventricularpseudoaneurysm |