Delayed Giant Pseudoaneurysm With Left-to-Right Shunt Following Postinfarct Ventricular Septal Perforation Repair

Tex Heart Inst J. 2023 Dec 6;50(6):e238269. doi: 10.14503/THIJ-23-8269.ABSTRACTLeft ventricular pseudoaneurysm with a left-to-right shunt is extremely rare, requiring surgery if symptomatic; however, surgery has a high risk. Here, the case of a 77-year-old man with heart failure symptoms is reported, in which he develops a giant left ventricular pseudoaneurysm 16 months after ventricular septal perforation repair as a result of acute myocardial infarction, with mild shunt blood flow from the pseudoaneurysm to the right ventricle. Intraoperative findings showed a free wall rupture along the area where the patch was secured during the initial surgery. The patient was discharged on postoperative day 13, and postoperative examination revealed no abnormalities.PMID:38073437 | DOI:10.14503/THIJ-23-8269
Source: Texas Heart Institute Journal - Category: Cardiology Authors: Source Type: research