Abstract
BackgroundLeft ventricular pseudoaneurysm due to early left ventricle rupture is a serious complication after cardiac surgery. Urgent surgery is recommended in most cases with a high mortality rate. Conservative treatment of a left ventricular pseudoaneurysm due to early left ventricle rupture is very rare.Case presentationWe present a 61-year-old woman with left ventricular pseudoaneurysm after mitral valve replacement due to early left ventricle rupture. This patient was treated in a conservative approach. This patient had an uneventful recovery. She was in good condition and remained asymptomatic 3.5 years after mitral valve surgery.ConclusionThis case suggests that medical treatment left ventricular pseudoaneurysm patients has a limited but acceptable role in selected and unusual circumstances.
Highlights
Left ventricular pseudoaneurysm due to early left ventricle rupture is a serious complication after cardiac surgery
Left ventricular pseudoaneurysm after mitral valve surgery is a type of rare and lethal condition derived from rupture of left ventricle (LV)
Other causes of rupture of the LV free wall include the untethering of the fibrous structures of the LV during resection of mitral leaflets, an increase in LV contractility after aortic crossclamping, enhanced LV wall stress with the support of inotropic agents, and other mechanical trauma between the free wall and the papillary muscles, such as rubber catheter wedging or metal pump suction during valve replacement [2]
Summary
Left ventricular pseudoaneurysm due to early left ventricle rupture is a serious complication after cardiac surgery. As a rare and serious complication after cardiac surgery, LVPA mainly occurs after mitral valve surgery. We report a case with an LVPA after mitral valve replacement (MVR) due to early LV rupture. * Correspondence: dr_dongaiqiang@zju.edu.cn 1Department of Cardiovascular Surgery, School of Medicine, Second Affiliated Hospital of Zhejiang University, #88 Jiefang Road, Hangzhou 310009, China Full list of author information is available at the end of the article
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