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Iatrogenic left ventricular pseudoaneurysm
L S Souza1, A A Mesquita, E D Chula
1Department of Cardiovascular Surgery, São João de Deus Hospital, Divinópolis, Minas Gerais, Brazil. liberato@gold.com.br
Abstract:
A case of iatrogenic left ventricular pseudoaneurysm in a male patient, with a diagnosis of pericarditis, is presented. The patient developed severe complications after an attempted diagnostic and therapeutic pericardiocentesis. Six months later, after corrective surgery, the pseudoaneurysm recurred. The patient had a second operation and two connections to the left ventricle were found. One year later the patient is well.
Insights
A rare case of iatrogenic left ventricular pseudoaneurysm following pericardiocentesis is detailed. Despite initial surgery, recurrence necessitated a second operation, ultimately leading to patient recovery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Complications
Background:
- Pericarditis diagnosis in a male patient.
- Attempted diagnostic and therapeutic pericardiocentesis procedure.
Observation:
- Patient developed severe complications post-pericardiocentesis.
- Iatrogenic left ventricular pseudoaneurysm formation.
Findings:
- Pseudoaneurysm recurrence six months after initial corrective surgery.
- Second operation revealed two connections to the left ventricle.
- Patient recovered fully one year after the second surgery.
Implications:
- Highlights potential severe complications of pericardiocentesis.
- Underscores the importance of careful surgical technique and follow-up.
- Demonstrates successful management of recurrent iatrogenic pseudoaneurysm.