Large left ventricular pseudoaneurysm and spontaneous recanalized coronaries
Ramesh Varadharajan1, Satyen Parida, Ashok Badhe
1Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
Annals of Cardiac Anaesthesia
|October 7, 2015
Summary
A ruptured left ventricle (LV) wall created a large pseudoaneurysm. Endoventricular patch plasty successfully repaired the defect, restoring normal heart function.
Area of Science:
- Cardiology
- Cardiac Surgery
- Cardiovascular Research
Background:
- Left ventricular (LV) rupture is a rare but life-threatening complication.
- Pseudoaneurysms, particularly those contained within the pericardium, pose significant surgical challenges.
Observation:
- A 35-year-old patient presented with a ruptured lateral wall of the left ventricle (LV).
- This resulted in a large pseudoaneurysm within the pericardial sac, with free blood flow between the LV and the pseudoaneurysm.
Findings:
- The patient underwent successful endoventricular patch plasty.
- The repair involved opening the aneurysm wall to directly address the LV defect.
Implications:
- This case highlights the feasibility of endoventricular patch plasty for complex LV pseudoaneurysms.
- Successful surgical intervention can prevent catastrophic outcomes associated with ventricular rupture.
Related Concept Videos
01:21Coronary Circulation
9.3K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
9.3K
01:30Aneurysm I: Introduction
613
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...
613
01:15Aortic Regurgitation I: Introduction
1.2K
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...
1.2K
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
892
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...
892
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
528
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...
528
01:24Cardiac Catheterization III: Left Heart Catheterization
1.2K
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
1.2K