A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery

Background  Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture. Case Description  We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary artery bypass...

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Autores principales: Fishberger, Gregory, Bulard, Blake, Lozonschi, Lucian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202565/
https://www.ncbi.nlm.nih.gov/pubmed/37223106
http://dx.doi.org/10.1055/s-0043-1769007
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author Fishberger, Gregory
Bulard, Blake
Lozonschi, Lucian
author_facet Fishberger, Gregory
Bulard, Blake
Lozonschi, Lucian
author_sort Fishberger, Gregory
collection PubMed
description Background  Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture. Case Description  We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary artery bypass grafting and mitral valve (MV) repair. MV replacement and arteriovenous pseudoaneurysm were repaired by dual approach via the left atrium with excision of the previously dehisced mitral ring to expose the defect and patch repair the atrioventricular defect through the pseudoaneurysm free wall. Conclusion  This is a rare case of a large subacute postoperative LVPA repaired by dual atrial–ventricular approach to treat a contained atrioventricular groove rupture.
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spelling pubmed-102025652023-05-23 A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery Fishberger, Gregory Bulard, Blake Lozonschi, Lucian Thorac Cardiovasc Surg Rep Background  Left ventricular pseudoaneurysm (LVPA) is an uncommon but potentially fatal complication following atrioventricular groove rupture. Case Description  We present a patient with a massive LVPA involving the lateral commissure and under the mitral P3 segment following coronary artery bypass grafting and mitral valve (MV) repair. MV replacement and arteriovenous pseudoaneurysm were repaired by dual approach via the left atrium with excision of the previously dehisced mitral ring to expose the defect and patch repair the atrioventricular defect through the pseudoaneurysm free wall. Conclusion  This is a rare case of a large subacute postoperative LVPA repaired by dual atrial–ventricular approach to treat a contained atrioventricular groove rupture. Georg Thieme Verlag KG 2023-05-22 /pmc/articles/PMC10202565/ /pubmed/37223106 http://dx.doi.org/10.1055/s-0043-1769007 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Fishberger, Gregory
Bulard, Blake
Lozonschi, Lucian
A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title_full A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title_fullStr A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title_full_unstemmed A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title_short A Dual Atrioventricular Approach to Repair Pseudoaneurysm after Mitral Valve Surgery
title_sort dual atrioventricular approach to repair pseudoaneurysm after mitral valve surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202565/
https://www.ncbi.nlm.nih.gov/pubmed/37223106
http://dx.doi.org/10.1055/s-0043-1769007
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