Heart transplantation as rescue treatment of left main stem occlusion by a recurrent aortic pseudoaneurysm

Related Experiment Video

Updated: Feb 6, 2026

Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine
09:37

Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine

Published on: August 24, 2018

11.0K

M Zeitouni1, O Barthelemy1, A Redheuil2

  • 1Intensive cardiovascular unit, université Paris 6, Pitié-Salpétrière hospital, institut de cardiologie, AP-HP, 13, boulevard de l'Hôpital, 75013 Paris, France.

Annales De Cardiologie Et D'Angeiologie
|August 29, 2018
PubMed

Insights

A heart transplant was successfully performed on a patient with cardiogenic shock caused by a pseudoaneurysm compressing the left main artery. This life-saving procedure offered a viable solution when other options were unavailable.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Transplantation

Background:

  • A 58-year-old male patient presented with cardiogenic shock and electrical storm.
  • The patient had a history of triple redo valvular surgery complicated by a recurrent aortic pseudoaneurysm of the ascending aorta.

Observation:

  • Coronary angiogram and heart CT scan revealed an extensive anterior myocardial infarction.
  • The infarction was attributed to extrinsic compression of the left main stem by a massive, calcified pseudoaneurysm.

Findings:

  • Conventional treatments like angioplasty and new cardiac surgery were deemed unsuitable by the heart team.
  • The patient was listed for and successfully underwent a heart transplant, despite the unusual indication.

Implications:

  • Heart transplantation can be a viable, life-saving option for complex cardiac conditions when standard treatments fail.
  • This case highlights the importance of considering advanced interventions for critical cardiovascular emergencies.
  • Successful heart transplantation in this scenario broadens the understanding of transplant eligibility in complex aortic pathologies.

Keywords:
Aortic pseudoaneurysmHeart transplantationInfarctus du myocardeLeft main stemMyocardial infarctionPseudo-anévrisme de l’aorteTransplantation cardiaqueTronc commun

More Related Videos

Modified Heterotopic Abdominal Heart Transplantation and a Novel Aortic Regurgitation Model in Rats13:32

Modified Heterotopic Abdominal Heart Transplantation and a Novel Aortic Regurgitation Model in Rats

Published on: June 2, 2023

2.7K
Orthotopic Aortic Transplantation: A Rat Model to Study the Development of Chronic Vasculopathy08:32

Orthotopic Aortic Transplantation: A Rat Model to Study the Development of Chronic Vasculopathy

Published on: December 4, 2010

12.7K

Related Concept Videos

Anatomy of the Heart01:27

Anatomy of the Heart

The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
119.9K
Anatomy of the Heart01:20

Anatomy of the Heart

The heart is a hollow, muscular organ approximately the size of a fist, consisting of four chambers. It is enclosed in the pericardium, a fibrous sac with two layers: the visceral and parietal pericardium, separated by a fluid-filled space containing serous fluid to reduce friction.
The heart has three layers: the innermost endocardium, the muscular myocardium, and the outer epicardium, all working together for optimal cardiac function.
Chambers of the Heart
The heart is made up of four...
3.2K
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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...
736
Induced Pluripotent Stem Cells01:13

Induced Pluripotent Stem Cells

Stem cells are undifferentiated cells that divide and produce different types of cells. Ordinarily, cells that have differentiated into a specific cell type are post-mitotic—that is, they no longer divide. However, scientists have found a way to reprogram these mature cells so that they “de-differentiate” and return to an unspecialized, proliferative state. These cells are also pluripotent like embryonic stem cells—able to produce all cell types—and are therefore...
28.1K
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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...
641
Overview of the Heart01:07

Overview of the Heart

The heart, a muscular organ located in the chest, functions as the body's pump, circulating blood through the vascular system. It has four chambers: two atria on top and two ventricles below. The right atrium receives deoxygenated blood from the body and passes it to the right ventricle, which pumps it to the lungs for oxygenation. The left atrium receives oxygenated blood from the lungs and transfers it to the left ventricle, which pumps it to the rest of the body.
The heart's structure...
14.0K