Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up
A 26-year-old female patient who had surgical closure of the ventricular septal defect with an autologous pericardial patch and mitral valve repair for the cleft mitral valve in early childhood at age 4 and then subsequently mitral valve replacement with a bioprosthetic valve in 2011 at the age of 1...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| Subjects: | |
| Online Access: | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2023;volume=7;issue=1;spage=51;epage=53;aulast=Shukla |
| _version_ | 1797775571885752320 |
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| author | Madhu Shukla Jagdish Chander Mohan |
| author_facet | Madhu Shukla Jagdish Chander Mohan |
| author_sort | Madhu Shukla |
| collection | DOAJ |
| description | A 26-year-old female patient who had surgical closure of the ventricular septal defect with an autologous pericardial patch and mitral valve repair for the cleft mitral valve in early childhood at age 4 and then subsequently mitral valve replacement with a bioprosthetic valve in 2011 at the age of 16 years, was found to have a large cystic mass protruding into the right ventricular inflow on echocardiography during a late routine examination in 2012. The cystic mass identified on echocardiography was shown to be an aneurysmal dilatation of the autologous pericardial patch used for the repair of the ventricular septal defect. As the third corrective surgery would have been inherently complicated with risk to the conduction system, she has been followed conservatively for the last 10 years without any significant complaints except mild dyspnea. This case illustrates that the pericardial patch aneurysm is relatively stable and surgery is rarely indicated unless the aneurysm causes mechanical compression or obstruction of the right ventricular inflow or outflow. |
| first_indexed | 2024-03-12T22:37:34Z |
| format | Article |
| id | doaj.art-a89d40d371904204b3b26a0db8c3db8d |
| institution | Directory Open Access Journal |
| issn | 2543-1463 2543-1471 |
| language | English |
| last_indexed | 2024-03-12T22:37:34Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| spelling | doaj.art-a89d40d371904204b3b26a0db8c3db8d2023-07-21T11:41:12ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712023-01-0171515310.4103/jiae.jiae_63_22Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-UpMadhu ShuklaJagdish Chander MohanA 26-year-old female patient who had surgical closure of the ventricular septal defect with an autologous pericardial patch and mitral valve repair for the cleft mitral valve in early childhood at age 4 and then subsequently mitral valve replacement with a bioprosthetic valve in 2011 at the age of 16 years, was found to have a large cystic mass protruding into the right ventricular inflow on echocardiography during a late routine examination in 2012. The cystic mass identified on echocardiography was shown to be an aneurysmal dilatation of the autologous pericardial patch used for the repair of the ventricular septal defect. As the third corrective surgery would have been inherently complicated with risk to the conduction system, she has been followed conservatively for the last 10 years without any significant complaints except mild dyspnea. This case illustrates that the pericardial patch aneurysm is relatively stable and surgery is rarely indicated unless the aneurysm causes mechanical compression or obstruction of the right ventricular inflow or outflow.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2023;volume=7;issue=1;spage=51;epage=53;aulast=Shuklamitral valve replacementpatch aneurysmventricular septal defect |
| spellingShingle | Madhu Shukla Jagdish Chander Mohan Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging mitral valve replacement patch aneurysm ventricular septal defect |
| title | Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up |
| title_full | Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up |
| title_fullStr | Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up |
| title_full_unstemmed | Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up |
| title_short | Pericardial Patch Aneurysm following Repair of Atrioventricular Septal Defect and Mitral Valve Replacement with 10-Year Follow-Up |
| title_sort | pericardial patch aneurysm following repair of atrioventricular septal defect and mitral valve replacement with 10 year follow up |
| topic | mitral valve replacement patch aneurysm ventricular septal defect |
| url | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2023;volume=7;issue=1;spage=51;epage=53;aulast=Shukla |
| work_keys_str_mv | AT madhushukla pericardialpatchaneurysmfollowingrepairofatrioventricularseptaldefectandmitralvalvereplacementwith10yearfollowup AT jagdishchandermohan pericardialpatchaneurysmfollowingrepairofatrioventricularseptaldefectandmitralvalvereplacementwith10yearfollowup |