Images in Cardiothoracic Medicine and Surgery
Giant left ventricular pseudoaneurysm Saurabh Subhash Varshney, Deepa Navkar and Varun Bhargava
Figure 1. Chest radiograph showing opacity in the left hemithorax.
Asian Cardiovascular & Thoracic Annals 2014, Vol. 22(6) 753–754 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313490296 aan.sagepub.com
Figure 3. The surgical repair.
Figure 2. Computed tomography showing the giant left ventricular pseudoaneurysm. Figure 4. Chest radiograph on postoperative day 8.
A 45-year-old man presented in shock. Chest radiography showed a large opacity in the left hemithorax (Figure 1). Computed tomography revealed a ruptured lateral wall of the left ventricle with pseudoaneurysm formation (Figure 2). He was resuscitated and taken to the operating room. After sternotomy, the left half of the sternal table was retracted gently. The pericardium over the aorta was separated, and pursestring sutures were placed. Similarly, the right atrium was dissected out and aortic 2-stage cannulation was performed. After instituting bypass, the left half of the sternum was elevated and the dissection was completed.
Department of Cardiothoracic and Vascular Surgery, CARE Hospitals, Nagpur, India Corresponding author: Saurabh Subhash Varshney, Department of Cardio-Thoracic & Vascular Surgery, CARE Hospitals, 3 Farmland, Panchsheel Square, Ramdaspeth, Nagpur (MS), India. Email: [email protected]
Downloaded from aan.sagepub.com at NORTH CAROLINA STATE UNIV on March 14, 2015
754
Asian Cardiovascular & Thoracic Annals 22(6)
The pseudoaneurysm was opened after clamping the aorta and venting the pulmonary artery. A Dacron patch was sutured to the large opening in the left ventricular lateral wall. The ventricle was closed with 2 Teflon strips (Figure 3), and the wall of the pseudoaneurysm was sutured over it. The patient was discharged home on postoperative day 8 (Figure 4).
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
Downloaded from aan.sagepub.com at NORTH CAROLINA STATE UNIV on March 14, 2015
Giant left ventricular pseudoaneurysm Saurabh Subhash Varshney, Deepa Navkar and Varun Bhargava
Figure 1. Chest radiograph showing opacity in the left hemithorax.
Asian Cardiovascular & Thoracic Annals 2014, Vol. 22(6) 753–754 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313490296 aan.sagepub.com
Figure 3. The surgical repair.
Figure 2. Computed tomography showing the giant left ventricular pseudoaneurysm. Figure 4. Chest radiograph on postoperative day 8.
A 45-year-old man presented in shock. Chest radiography showed a large opacity in the left hemithorax (Figure 1). Computed tomography revealed a ruptured lateral wall of the left ventricle with pseudoaneurysm formation (Figure 2). He was resuscitated and taken to the operating room. After sternotomy, the left half of the sternal table was retracted gently. The pericardium over the aorta was separated, and pursestring sutures were placed. Similarly, the right atrium was dissected out and aortic 2-stage cannulation was performed. After instituting bypass, the left half of the sternum was elevated and the dissection was completed.
Department of Cardiothoracic and Vascular Surgery, CARE Hospitals, Nagpur, India Corresponding author: Saurabh Subhash Varshney, Department of Cardio-Thoracic & Vascular Surgery, CARE Hospitals, 3 Farmland, Panchsheel Square, Ramdaspeth, Nagpur (MS), India. Email: [email protected]
Downloaded from aan.sagepub.com at NORTH CAROLINA STATE UNIV on March 14, 2015
754
Asian Cardiovascular & Thoracic Annals 22(6)
The pseudoaneurysm was opened after clamping the aorta and venting the pulmonary artery. A Dacron patch was sutured to the large opening in the left ventricular lateral wall. The ventricle was closed with 2 Teflon strips (Figure 3), and the wall of the pseudoaneurysm was sutured over it. The patient was discharged home on postoperative day 8 (Figure 4).
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
Downloaded from aan.sagepub.com at NORTH CAROLINA STATE UNIV on March 14, 2015
