Giant left ventricular pseudoaneurysm

被引：4

作者：

Prakash, Sumi ^{[1
]}

Garg, Nadish ^{[1
]}

Xie, Gong-Yuan ^{[1
]}

Dellsperger, Kevin C. ^{[1
,2
,3
]}

机构：

[1] Univ Hosp & Clin, Dept Internal Med, Columbia, MO 65212 USA

[2] Univ Hosp & Clin, Dept Med Pharmacol & Physiol, Columbia, MO 65212 USA

[3] Univ Missouri, Ctr Hlth Care Qual, Columbia, MO USA

来源：

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY | 2010年 / 4卷 / 04期

关键词：

Bioprosthesis; Endocarditis; Prosthetic heart valve; Pseudoaneurysm;

D O I：

10.1016/j.jcct.2010.05.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left ventricular (LV) pseudoaneurysm (PS) is an uncommon, often fatal complication associated with myocardial infarction, cardiothoracic surgery, trauma, and, rarely, infective endocarditis. A 28-year-old man with prior history of bioprosthetic mitral valve replacement presented with congestive heart failure and bacteremia with Abiotrophia granulitica. Transesophageal echocardiogram showed bioprosthesis dysfunction, large vegetations, mitral regurgitation, and probable PS. Cardiac and chest CT confirmed a PS communicating with the left ventricle Patient had pulseless electrical activity and died. Autopsy showed a giant PS with layered thrombus and pseudo-endothelialized cavity. Our case highlights the importance of multimodality imaging as an important tool in management of PS. (C) 2010 Society of Cardiovascular Computed Tomography. All rights reserved.

引用

页码：284 / 285

页数：2