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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

649
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
649

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Related Experiment Video

Updated: Apr 28, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Left ventricular pseudoaneurysm after reimplantation procedure.

Takahiro Inoue1, Kazuhiro Hashimoto2, Yoshimasa Sakamoto2

  • 1Department of Cardiac Surgery, The Jikei University, 3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan. yokosuka-inoten@jikei.ac.jp.

General Thoracic and Cardiovascular Surgery
|June 12, 2014
PubMed
Summary

Postoperative left ventricular pseudoaneurysm is a rare but lethal complication. Careful aortic root handling is crucial to prevent this, especially in Marfan syndrome patients.

Keywords:
Aortic rootComplicationLeft ventriclePseudoaneurysm

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Complications
  • Connective Tissue Disorders

Background:

  • Left ventricular pseudoaneurysm (LVPA) is a rare, life-threatening complication following cardiac surgery.
  • High rupture risk and mortality associated with LVPA repair necessitate preventative strategies.

Observation:

  • A 64-year-old male with Marfan syndrome developed a postoperative left ventricular pseudoaneurysm after valve-sparing aortic root replacement.
  • The pseudoaneurysm necessitated urgent surgical repair.

Findings:

  • Meticulous surgical technique during aortic root procedures is essential for preventing LVPA.
  • Patients with connective tissue disorders, such as Marfan syndrome, may be at increased risk.

Implications:

  • Highlights the critical importance of careful aortic root management in preventing LVPA.
  • Emphasizes heightened vigilance for this complication in patients with underlying connective tissue abnormalities.