Akademik Veri Yönetim Sistemi
72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery, İstanbul, Türkiye, 25 - 28 Mayıs 2024, cilt.31, sa.1, ss.1-249, (Özet Bildiri)
1.7.13. Surgical Treatment of Delayed Diagnosis Left Ventricular Giant Pseudoaneurysm
After Myocardial Infarction
Alperen Yıldız 1
, Muhammet Ça ˘grı Aykut 1
, O ˘guzhan Birdal 2
, Eyüp Serhat Çalık 1 and
Ümit Arslan 1
1 Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Erzurum,
Türkiye
2 Department of Cardiology, Atatürk University Medical Faculty, Erzurum, Türkiye
BACKGROUND: Left ventricular (LV) pseudoaneurysm is a rare but potentially
lethal complication of myocardial infarction (MI). It may also develop following cardiac
surgery, endovascular procedures, or trauma. Multimodality imaging may be required to
differentiate a pseudoaneurysm from a true aneurysm and to plan the surgical treatment.
Surgical intervention is required to treat pseudoaneurysm as there is a high risk of rupture.
CASE PRESENTATION: A 64 years old male patient applied to our cardiology department with shortness of breath and occasional chest and back pain. The patient had a history
of hypertension, asthma and bladder cancer. The patient underwent coronary angiography
and applied stenting for MI, 7 months before. Echocardiography showed 1.8 × 2.9 mm
defect on the lateral wall and passage through the defect on color Doppler imaging. CT
scan confirmed the echocardiographic findings. 138 × 80 × 102 mm cavity related to the
defect was also detected. Surgery was planned. The patient underwent pseudoaneurysm
excision and defect repair with a Teflon patch under cardiopulmonary bypass. He was
taken to ICU post-surgery for 3 days. Postoperative echocardiography showed no passage
through the defect and no cavity related to the defect. The patient was required long term
oxygen therapy and discharged on day ten after the surgery.
Keywords: Giant Pseudoaneurysm; delayed diagnosis; myocardial infarction; complication