Related Experiment Video

Updated: Mar 5, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.3K

Repair of calcified left ventricular pseudoaneurysm of long duration

Orhan Saim Demirtürk1, Elif Karadeli2, Utku Alemdaroglu1

  • 1Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey.

Interactive Cardiovascular and Thoracic Surgery
|March 23, 2017
PubMed

Insights

A rare case of a long-standing left ventricular pseudoaneurysm, a contained heart rupture, was successfully treated with surgery. This rare cardiac condition, if untreated, carries a high mortality risk due to potential rupture.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Diagnostic Imaging

Background:

  • Cardiac pseudoaneurysm is a critical condition involving a contained myocardial rupture.
  • It poses a significant risk of sudden death, with a 30-45% mortality rate in the first year, primarily due to rupture.

Observation:

  • A 65-year-old male presented with dyspnea, coughing, and chest pain.
  • Coronal and axial T2-weighted MRI revealed a large left ventricular pseudoaneurysm.
  • The patient had a history suggesting the rupture was contained for years, evidenced by a heavily calcified pseudoaneurysm wall.

Findings:

  • Surgical intervention included coronary bypass and left ventricular restoration.
  • The patient experienced an uneventful recovery and was discharged 8 days post-operation.
  • At 21 months post-surgery, the patient remains in New York Heart Association (NYHA) Class I.

Implications:

  • This case highlights the possibility of long-term containment of left ventricular rupture.
  • Surgical repair can lead to favorable long-term outcomes even in rare, complex cases.
  • Early diagnosis and surgical management are crucial for improving survival rates in cardiac pseudoaneurysm patients.

Keywords:
Myocardial infarctionPseudoaneurysmVentricle rupture

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.8K
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

4.4K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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...
414
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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...
525