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Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report

BACKGROUND: Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively. CASE PRESENTATION: We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one mo...

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Autores principales: El Hadj Sidi, Chighaly, Isselmou, Varha, Mohamed Ahmed, Mohamed Feissal, Diop, El Hadj Abdelaziz, Argueina, Taleb Ekhyar, Mady, Haimouda, Boye, Khaled
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873888/
https://www.ncbi.nlm.nih.gov/pubmed/36692801
http://dx.doi.org/10.1186/s43044-023-00334-9
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author El Hadj Sidi, Chighaly
Isselmou, Varha
Mohamed Ahmed, Mohamed Feissal
Diop, El Hadj Abdelaziz
Argueina, Taleb Ekhyar
Mady, Haimouda
Boye, Khaled
author_facet El Hadj Sidi, Chighaly
Isselmou, Varha
Mohamed Ahmed, Mohamed Feissal
Diop, El Hadj Abdelaziz
Argueina, Taleb Ekhyar
Mady, Haimouda
Boye, Khaled
author_sort El Hadj Sidi, Chighaly
collection PubMed
description BACKGROUND: Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively. CASE PRESENTATION: We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one month following cardiac surgery of active endocarditis affecting aortic and mitral valves. The diagnosis was established by transthoracic echocardiography and computed tomography angiography of the chest. Urgent cardiac surgery is performed with excision of the pseudoaneurysm and direct closure of the defect. The patient had a complete recovery and was discharged on the twelfth postoperative day. CONCLUSIONS: Left ventricular pseudoaneurysms are rare but potentially fatal. The symptoms revealing such complications are very diverse. Surgical treatment can be offered to younger patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43044-023-00334-9.
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spelling pubmed-98738882023-02-08 Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report El Hadj Sidi, Chighaly Isselmou, Varha Mohamed Ahmed, Mohamed Feissal Diop, El Hadj Abdelaziz Argueina, Taleb Ekhyar Mady, Haimouda Boye, Khaled Egypt Heart J Case Report BACKGROUND: Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively. CASE PRESENTATION: We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one month following cardiac surgery of active endocarditis affecting aortic and mitral valves. The diagnosis was established by transthoracic echocardiography and computed tomography angiography of the chest. Urgent cardiac surgery is performed with excision of the pseudoaneurysm and direct closure of the defect. The patient had a complete recovery and was discharged on the twelfth postoperative day. CONCLUSIONS: Left ventricular pseudoaneurysms are rare but potentially fatal. The symptoms revealing such complications are very diverse. Surgical treatment can be offered to younger patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43044-023-00334-9. Springer Berlin Heidelberg 2023-01-24 /pmc/articles/PMC9873888/ /pubmed/36692801 http://dx.doi.org/10.1186/s43044-023-00334-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
El Hadj Sidi, Chighaly
Isselmou, Varha
Mohamed Ahmed, Mohamed Feissal
Diop, El Hadj Abdelaziz
Argueina, Taleb Ekhyar
Mady, Haimouda
Boye, Khaled
Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title_full Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title_fullStr Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title_full_unstemmed Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title_short Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
title_sort pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873888/
https://www.ncbi.nlm.nih.gov/pubmed/36692801
http://dx.doi.org/10.1186/s43044-023-00334-9
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