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Related Concept Videos

Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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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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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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 I: Introduction01:15

Aortic Regurgitation I: Introduction

300
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...
300
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

180
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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Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

243
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
243
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

231
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...
231

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Recurrent left ventricular pseudoaneurysm with an ominous presentation.

Daniel Seabra1, Nuno Moreno2, Diana Pissarra3

  • 1Department of Cardiology, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.

Interactive Cardiovascular and Thoracic Surgery
|July 26, 2020
PubMed
Summary

A recurrent left ventricular pseudoaneurysm invaded chest wall tissue in a 58-year-old male. This case highlights the complex surgical management of advanced cardiac pseudoaneurysms.

Keywords:
PseudoaneurysmReoperation

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Left ventricular pseudoaneurysms can arise after cardiac surgery.
  • Recurrent pseudoaneurysms pose significant management challenges.

Observation:

  • A 58-year-old male presented with a recurrent left ventricular pseudoaneurysm.
  • The pseudoaneurysm invaded the left chest wall and protruded through the skin.
  • The patient had a prior repair of an infected apical aneurysm with thrombus.

Findings:

  • The recurrent pseudoaneurysm demonstrated extensive local invasion.
  • Surgical and technical images documented the dramatic presentation and procedural complexity.

Implications:

  • This case underscores the need for vigilant monitoring post-aneurysm repair.
  • Advanced imaging and complex surgical techniques are crucial for managing such cases.
  • Understanding pseudoaneurysm progression is vital for surgical planning.