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Published on: May 19, 2020
Ventricular pseudoaneurysm associated with severe mitral regurgitation
Hari R Mallidi1, David A Latter
1Department of Cardiothoracic Surgery, Stanford University School of Medicine, CA, USA.
Background:
A 77-year-old man presented with non-ST-segment elevation myocardial infarction, congestive heart failure and cardiogenic shock. In the coronary care unit, the patient was initially stabilized by diuresis and afterload reduction. Six months previously he had experienced an episode of severe dyspnea, orthopnea and chest heaviness.
Investigations:
Echocardiography and coronary angiography.
Diagnosis:
Ventricular pseudoaneurysm associated with mitral regurgitation after myocardial infarction.
Management:
Pseudoaneurysm repair using a bovine pericardial patch, coronary artery bypass grafting of the left anterior descending and circumflex coronary artery and management of mitral regurgitation by ventricular remodeling.
Related Concept Videos
Mitral Regurgitation I: Introduction
Mitral Valve Prolapse I: Introduction
Mitral Stenosis I: Introduction
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
Mitral Valve Prolapse II: Assessment and Management
Mitral Regurgitation III: Medical Management

