Successfully treated infected left ventricular pseudoaneurysm after the Dor operation

Abstract

A 65-year-old woman received a bovine pericardial patch repair with a sutureless technique for a left ventricular free-wall rupture. Three months later the Dor operation was performed for a left ventricular aneurysm. She was admitted again with a mycotic aneurysm 15 months after the Dor operation. Computed tomography suggested a rupture of the pseudoaneurysm due to a damaged endoventricular patch. An emergency Dor reoperation was performed with profound hypothermia. Right thoracotomy was performed with insertion of a left vent catheter via the right upper pulmonary vein in order to prevent ventricular distention. Omentopexy was performed to avoid infection of the mediastinum. The patient had an uneventful postoperative course.