Challenges in management of a giant left ventricular pseudoaneurysm complicated by intracerebral hemorrhage

Junji Tsukagoshi1, Shuhei Miura1, Akira Yamada1

  • 1Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Hokkaido, Sapporo, Japan.

Urgent surgery is generally indicated for left ventricular (LV) pseudoaneurysms, especially for large or expanding lesions. However, management of pseudoaneurysms complicated by acute intracerebral hemorrhage is controversial. This case of a giant LV pseudoaneurysm followed a successful postoperative course after 4 weeks of conservative management followed by surgical repair and may suggest a safe and efficient management.

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