Related Experiment Video
Updated: Jul 30, 2025
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
1.7K
Left ventricular pseudoaneurysm after endoscopic mitral valve repair for active endocarditis
Koh Kajiyama1, Soh Hosoba1, Riku Kato1
1Department of Cardiovascular Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan.
Summary
A rare complication after infective endocarditis, left ventricular pseudoaneurysm, was successfully repaired using a minimally invasive, totally endoscopic approach. This technique offers a viable option for managing this serious cardiac condition.
Area of Science:
- Cardiology
- Cardiac Surgery
- Minimally Invasive Surgery
Background:
- Infective endocarditis can lead to rare but serious complications like left ventricular pseudoaneurysms.
- Prompt diagnosis and effective treatment are crucial to prevent life-threatening events such as cardiac tamponade or rupture.
Observation:
- A 48-year-old woman developed a left ventricular pseudoaneurysm two weeks after undergoing endoscopic mitral valve repair for active infective endocarditis.
- The pseudoaneurysm was identified and required surgical intervention.
Findings:
- The pseudoaneurysm was successfully repaired using a totally endoscopic approach via a left thoracotomy.
- The patient experienced an uneventful postoperative recovery and showed no signs of recurrence at 18 months follow-up.
Implications:
- Totally endoscopic repair is a feasible and effective strategy for managing left ventricular pseudoaneurysms post-infective endocarditis.
- Minimally invasive techniques can be safely applied to complex cardiac reconstructions, improving patient outcomes.
Keywords:
Infective endocarditisLeft ventricular pseudoaneurysmMinimally invasive cardiac surgeryMitral valve repairTotally endoscopicMore Related Videos
Related Concept Videos
01:22Mitral Stenosis I: Introduction
19
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
19
01:26Mitral Stenosis III: Medical Management
14
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
14
01:20Mitral Regurgitation I: Introduction
20
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...
20
01:22Mitral Valve Prolapse II: Assessment and Management
25
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
25
01:18Endocarditis III: Medical Management
9
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
9
01:25Mitral Regurgitation III: Medical Management
20
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
20