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Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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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...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Heart Valves01:16

Heart Valves

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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
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Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

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IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
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Related Experiment Video

Updated: Apr 17, 2026

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Left ventricular pseudoaneurysm after valve replacement.

Jun Ho Lee1, Seok Chol Jeon2, Hyo-Jun Jang3

  • 1Department of Thoracic and Cardiovascular Surgery, Hanyang University Seoul Hospital, Hanyang University College of Medicine.

The Korean Journal of Thoracic and Cardiovascular Surgery
|February 24, 2015
PubMed
Summary

A rare complication of heart surgery, left ventricular pseudoaneurysm, was successfully repaired. This case highlights a rare but fatal risk following mitral valve replacement procedures.

Keywords:
Left ventricular pseudoaneurysmLeft ventricular ruptureMitral valve, replacement

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Case Reports

Background:

  • Left ventricular pseudoaneurysm is a rare and potentially fatal complication following cardiac procedures.
  • Mitral valve replacement surgery carries a risk of developing such complications.

Observation:

  • A 55-year-old woman presented with chest pain ten years after undergoing double valve replacement.
  • Her medical history included aortic regurgitation and mitral steno-insufficiency.

Findings:

  • The patient was diagnosed with a left ventricular pseudoaneurysm.
  • Surgical repair was successfully performed using a prosthetic pericardial patch.
  • The surgical approach utilized was a left lateral thoracotomy.

Implications:

  • This case demonstrates the successful surgical management of a rare and life-threatening cardiac complication.
  • It underscores the importance of timely diagnosis and intervention in patients with a history of cardiac surgery.
  • The use of a prosthetic pericardial patch and left lateral thoracotomy represents a viable surgical strategy.