Unexpected complication after Bentall surgery
DOI:
https://doi.org/10.37615/retic.n1a11Keywords:
Ventricular pseudoaneurysm, Cardiac surgery complication.Abstract
The occurrence of pseudoaneurysm in non-ischemic and non-manipulated areas during cardiac surgery is unknown. We report a case of a 63 year old man who underwent Bentall surgery. The echocardiographic control demonstrated a cavity and a systolic fl ow next to the apex suggesting a new pseudoaneurysm. Cardiovascular magnetic resonance and computerized tomography confi rmed an apical pseudoaneurysm and the presence of surgical material in the epicardium. We hypothesize that hypothermia during surgery might have increased the stiff ness of the extracorporeal circulation cannula causing the injury in this area.
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Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998; 32 (3): 557-561. DOI: https://doi.org/10.1016/S0735-1097(98)00290-3
Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical Profi le and Outcome in 52 Patients with Cardiac Pseudoaneurysm. Ann Intern Med 1998; 128: 299-305. DOI: https://doi.org/10.7326/0003-4819-128-4-199802150-00010
Laguna G, Echevarría JR, Fernández M. Seudoaneurisma ventricular izquierdo tras sustitución de aorta torácica. Rev Esp Cardiol 2015; 68 (4): 340. DOI: https://doi.org/10.1016/j.recesp.2014.05.022
Kupari M. Value of combined cross sectional and Doppler echocardiography in the detection of left ventricular pseudoaneurysm after mitral valve replacement. Br Heart J 1987; 58: 52. DOI: https://doi.org/10.1136/hrt.58.1.52
Kerkhoff GO, Höfs C, Roer N, Albes G, Lehner A, Koslowski B, Kühne D, Budde T. Left Ventricular Pseudoaneurysm: Clinical Role of Cardiovascular Magnetic Resonance Imaging. Circulation 2004; 109: e222-e223 doi: 10.1161/01. CIR.0000130756.52908.B2. DOI: https://doi.org/10.1161/01.CIR.0000130756.52908.B2
Çakir H, Alizade E, Açar G, Bayram Z, Esen AM. A large left ventricular pseudoaneurysm evaluated with multimodality cardiac imaging. J Cardiovasc Med (Hagerstown) 2012; 13 (8): 524-526. doi: 10.2459/JCM.0b013e328356a20b. DOI: https://doi.org/10.2459/JCM.0b013e328356a20b
Mujanovic E, Bergsland J, Avdic S, Stanimirovic-Mujanovic S, Kovacevic-Preradovic T, Kabil E. Surgical treatment of left ventricular
pseudoaneurysm. Med Arch 2014; 68 (3): 215-217. doi: 10.5455/medarh.2014.68.215-217. Epub 2014 May 31. DOI: https://doi.org/10.5455/medarh.2014.68.215-217
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Copyright (c) 2016 Octavio Jiménez Melo, Ángela Cacicedo, Silvia Cisneros, Lara Ruiz, Sonia Velasco del Castillo
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