[A Giant Pseudoaneurysm Associated with a True Left Ventricular Aneurysm].

Area of Science:

• Cardiology
• Cardiac Surgery
• Aortic Aneurysm

Background:

• A 66-year-old male presented with exertional dyspnea.
• History includes total arch replacement for aortic dissection and myocardial infarction treatment.
• Imaging revealed a giant pseudoaneurysm compressing the right ventricle.

Purpose of the Study:

• To describe a novel surgical approach for a giant pseudoaneurysm.
• To address a complex cardiac case with dense pericardial adhesions.

Main Methods:

• Surgical intervention for pseudoaneurysm.
• Direct internal suturing of the rupture orifice from within the pseudoaneurysm.
• Utilized rapid pacing during the procedure.

Main Results:

• Successful surgical repair of the giant pseudoaneurysm.
• The novel approach was feasible despite dense pericardial adhesions from prior cardiac surgery.
• Patient outcome was positive.

Conclusions:

• Internal suturing of a pseudoaneurysm rupture orifice is an effective surgical alternative.
• This technique is particularly useful in patients with dense adhesions and small rupture orifices.