Left thoracotomy for recurrent left ventricular pseudoaneurysm

• A 63-year-old man developed a left ventricular pseudoaneurysm 6 months after surgery for coronary artery disease, mitral valve insufficiency and left ventricular aneurysm. The grafts were patent and the mitral valve competent, so it was decided to resect the pseudoaneurysm. The heart was approached through a left posterolateral thoracotomy using a femoral arteriovenous cardiopulmonary bypass with moderate hypothermia (25 degrees C) and fibrillatory arrest. The postoperative course was uneventful. At follow-up, 55 months after surgery, the patient is doing well and magnetic resonance reveals absence of pseudoaneurysm and increased left ventricular ejection fraction. In patients with left ventricular pseudoaneurysm undergoing redo surgery, especially in the presence of patent coronary grafts, left thoracotomy seems to be a suitable alternative to full sternotomy.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)

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