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Left ventricular pseudoaneurysm after surgery for infective endocarditis.

Yoshifumi Itoda¹, Hyoe Komae, Tetsufumi Yamamoto

¹Department of Cardiac Surgery, Asahi General Hospital, Chiba, Japan. inguinail@yahoo.co.jp

Asian Cardiovascular & Thoracic Annals

|February 23, 2013

Summary

A patient developed a giant left ventricular pseudoaneurysm after aortic valve replacement for infective endocarditis. Surgical intervention included pseudoaneurysm repair and repeat aortic valve replacement.

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Area of Science:

Cardiology
Cardiac Surgery
Medical Imaging

Background:

A 46-year-old male patient underwent aortic valve replacement in 2006 due to aortic regurgitation caused by active infective endocarditis.
Postoperative follow-up included transthoracic echocardiography, which showed normal results apart from a subannular depressed scar.

Observation:

In 2010, a giant left ventricular pseudoaneurysm was identified using three-dimensional computed tomography.
The pseudoaneurysm was located near the aortic valve annulus.

Findings:

The patient presented with a rare complication of infective endocarditis and prior aortic valve surgery.
The giant left ventricular pseudoaneurysm required surgical management.

Implications:

This case highlights the importance of long-term surveillance for complications after aortic valve replacement for endocarditis.
Timely diagnosis and surgical intervention are crucial for managing large pseudoaneurysms.
Advanced imaging techniques like 3D CT are valuable in detecting complex cardiac abnormalities.