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Updated: Jun 28, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Management of Concurrent Left Ventricular Pseudoaneurysm and Mitral Annular Calcification: A Case Report
Douglas Tran1, Kevin Ho1, David Zapata1
1Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Abstract:
We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes. Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.
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