Recurrence of left ventricular pseudoaneurysm after multiple mitral valve replacements

Submitted: August 4, 2021
Accepted: August 22, 2021
Published: October 11, 2021
Abstract Views: 1133
PDF: 469
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Authors

Left ventricular pseudoaneurysm (LVPA) formation is a potentially lethal complication of myocardial infarction (MI) and mitral valve (MV) replacement that requires prompt diagnosis and treatment. A female patient who had been complaining of exertional dyspnea underwent a two-dimensional transthoracic echocardiogram (TTE) which revealed a functioning mechanical MV with severe paravalvular leak, severe tricuspid regurgitation (TR) and severely elevated pulmonary artery systolic pressure. Moreover, echo-lucent space at the postero-lateral portion of the left ventricle near the MV was seen, suggestive of a large LVPA. Transesophageal echocardiography (TEE) and computed tomography (CT) angiography confirmed these findings. Afterwards, the patient had a surgical repair for the LVPA along with mitral and tricuspid valve (TV) replacement. Three months later, the patient presented with symptoms of congestive heart failure. The LVPA had recurred at the same location of the previous pseudoaneurysm and given the high risk for reoperating on the patient, close monitoring and medical management were deemed as a better option. 

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Citations

Arnaz A, Akansel S, Yalcinbas Y, et al. Transcatheter closure of left ventricular pseudoaneurysm after mitral valve replacement. Ann Thorac Surg 2020;110:e123–5. DOI: https://doi.org/10.1016/j.athoracsur.2019.12.019
Sahebjam M, Salehiomran A, Ghaffari-Marandi N, Safir A. Late diagnosis of large left ventricular pseudoaneurysm after mitral valve replacement and coronary artery bypass surgery by real-time three-dimensional echocardiography. J Tehran Heart Cent 2012;7:188-90.
Lee JH, Jeon SC, Jang H-J, et al. Left ventricular pseudoaneurysm after valve replacement. Korean J Thorac Cardiovasc Surg 2015;48:63–6. DOI: https://doi.org/10.5090/kjtcs.2015.48.1.63
Şahan E, Şahan S, Karamanlıoğlu M J, et al. Left ventricular pseudoaneurysm after mitral valve replacement: Review of pseudoaneurysms late after mitral valve replacement. Herz 2015;40:778–82. DOI: https://doi.org/10.1007/s00059-015-4302-7
Inayat F, Ghani AR, Riaz I, et al. Left ventricular pseudoaneurysm: an overview of diagnosis and management. J Investig Med High Impact Case Rep 2018;6:2324709618792025. DOI: https://doi.org/10.1177/2324709618792025

How to Cite

Alsomali, Afrah, Abdullah Eltayeb, Sarah Aldosari, Maie AlShahid, Aly AlSanei, Ali AlEnazy, and Olga Vriz. 2021. “Recurrence of Left Ventricular Pseudoaneurysm After Multiple Mitral Valve Replacements”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.2043.