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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Idiopathic left ventricular outflow tract pseudoaneurysm.

Ajay Kumar Jha1, Rakesh Pandey, Parag Gharde

  • 1Department of Cardiothoracic and Vascular Anesthesia, All India Institute of Medical Sciences, New Delhi- 110 029, India.

Annals of Cardiac Anaesthesia
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PubMed
Summary

Left ventricular outflow tract pseudoaneurysm is rare and unpredictable. Intraoperative transesophageal echocardiography aided surgical management in a patient without typical predisposing factors.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Left ventricular outflow tract (LVOT) pseudoaneurysms are rare cardiac emergencies.
  • Predisposing factors typically include endocarditis, myocardial infarction, or trauma.
  • Few cases are documented, highlighting the rarity of this condition.

Observation:

  • This report details a unique case of LVOT pseudoaneurysm.
  • The patient presented without any of the commonly associated predisposing conditions.
  • Intraoperative transesophageal echocardiography was crucial for diagnosis and surgical planning.

Findings:

  • A diagnosis of LVOT pseudoaneurysm was confirmed.
  • The absence of typical predisposing factors made this case unusual.
  • Transesophageal echocardiography provided real-time visualization essential for surgical guidance.

Implications:

  • This case expands the understanding of LVOT pseudoaneurysm etiology.
  • It underscores the importance of advanced imaging in managing rare cardiac pathologies.
  • Highlights the potential for LVOT pseudoaneurysms to occur without established risk factors.