A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
Background Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture. Case Description We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary arte...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2023-01-01
|
| Series: | The Thoracic & Cardiovascular Surgeon Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769007 |
| _version_ | 1827936990660657152 |
|---|---|
| author | Gregory Fishberger Blake Bulard Lucian Lozonschi |
| author_facet | Gregory Fishberger Blake Bulard Lucian Lozonschi |
| author_sort | Gregory Fishberger |
| collection | DOAJ |
| description | Background Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture.
Case Description We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary artery bypass grafting and mitral valve (MV) repair. MV replacement and arteriovenous pseudoaneurysm were repaired by dual approach via the left atrium with excision of the previously dehisced mitral ring to expose the defect and patch repair the atrioventricular defect through the pseudoaneurysm free wall.
Conclusion This is a rare case of a large subacute postoperative LVPA repaired by dual atrial–ventricular approach to treat a contained atrioventricular groove rupture. |
| first_indexed | 2024-03-13T08:19:05Z |
| format | Article |
| id | doaj.art-cc8023c47067459398f212e86f26682a |
| institution | Directory Open Access Journal |
| issn | 2194-7635 2194-7643 |
| language | English |
| last_indexed | 2024-03-13T08:19:05Z |
| publishDate | 2023-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | The Thoracic & Cardiovascular Surgeon Reports |
| spelling | doaj.art-cc8023c47067459398f212e86f26682a2023-05-31T12:34:47ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432023-01-011201e28e3210.1055/s-0043-1769007A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve SurgeryGregory Fishberger0Blake Bulard1Lucian Lozonschi2Division of Cardiothoracic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, United StatesDivision of Cardiothoracic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, United StatesDivision of Cardiothoracic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, United StatesBackground Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture. Case Description We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary artery bypass grafting and mitral valve (MV) repair. MV replacement and arteriovenous pseudoaneurysm were repaired by dual approach via the left atrium with excision of the previously dehisced mitral ring to expose the defect and patch repair the atrioventricular defect through the pseudoaneurysm free wall. Conclusion This is a rare case of a large subacute postoperative LVPA repaired by dual atrial–ventricular approach to treat a contained atrioventricular groove rupture.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769007aneurysmcoronary artery bypass graftingcabgheartmitral valve surgerysurgerycomplications |
| spellingShingle | Gregory Fishberger Blake Bulard Lucian Lozonschi A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery The Thoracic & Cardiovascular Surgeon Reports aneurysm coronary artery bypass grafting cabg heart mitral valve surgery surgery complications |
| title | A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery |
| title_full | A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery |
| title_fullStr | A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery |
| title_full_unstemmed | A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery |
| title_short | A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery |
| title_sort | dual atrioventricular approach to repair pseudoaneurysm after mitral valve surgery |
| topic | aneurysm coronary artery bypass grafting cabg heart mitral valve surgery surgery complications |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769007 |
| work_keys_str_mv | AT gregoryfishberger adualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery AT blakebulard adualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery AT lucianlozonschi adualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery AT gregoryfishberger dualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery AT blakebulard dualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery AT lucianlozonschi dualatrioventricularapproachtorepairpseudoaneurysmaftermitralvalvesurgery |