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Left ventricular pseudoaneurysm after sutureless repair of subacute left ventricular free wall rupture: a case report
1Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, 3-20-1 Teruya, Okinawa 904-8585, Japan.
Abstract:
A 65-year-old woman presenting with a left ventricular pseudoaneurysm 27 months after sutureless repair of a subacute left ventricular free wall rupture complicating acute myocardial infarction is described. An autologous pericardial patch and gelatin resorcin formaldehyde (GRF) glue were used in the repair. A small pseudoaneurysm bulged out over the true aneurysm of the left ventricle. We performed a Dor operation and concomitant bypass grafting to the right coronary artery. Although sutureless repair is an effective procedure for subacute left ventricular free wall rupture, left ventricular pseudoaneurysm in the late postoperative period may be a rare problem after this repair.
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