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Related Concept Videos

Aneurysm I: Introduction01:30

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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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Aneurysm III: Interprofessional Care01:26

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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...
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Aortic Regurgitation I: Introduction01:15

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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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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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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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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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Iatrogenic left ventricular false aneurysm.

Antioco Cappai1, Fabrizio Settepani, Alessandro Barbone

  • 1aDepartment of Cardiac Surgery, Humanitas Research Hospital, Rozzano, Italy bWessex Cardiothoracic Centre, University Hospital Southampton, Southampton, UK.

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Summary
This summary is machine-generated.

A false aneurysm developed at the left ventricular apex following a transapical mitral valve-in-valve procedure. This rare complication highlights the need for vigilance after minimally invasive cardiac interventions.

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Cardiac Imaging

Background:

  • Transapical mitral valve-in-valve (MIVV) implantation is a minimally invasive technique for degenerated mitral valve prostheses.
  • Potential complications, though rare, require thorough understanding and monitoring.
  • Left ventricular apex is a common access site for transapical procedures.

Observation:

  • A case of a false aneurysm at the left ventricular apex is reported.
  • This complication occurred after a transapical MIVV procedure.
  • The aneurysm was identified as a potential sequela of the implantation.

Findings:

  • The study details a specific instance of false aneurysm formation.
  • The anatomical location is the left ventricular apex.
  • The timing is post-mitral valve-in-valve transapical implantation.

Implications:

  • This case underscores the importance of recognizing and managing rare complications after transapical MIVV.
  • Awareness of apical false aneurysms is crucial for cardiac surgeons and interventional cardiologists.
  • Further research may be needed to elucidate the exact mechanisms and optimal management strategies.