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Eur J Cardiothorac Surg 2004;25:283
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Pseudoaneurysm of the left ventricle near the non-coronary sinus valsalvae after aortic valve replacement

J.P. Mullera*, O. Reuthebucha, R. Jennib, M.I. Turinaa

a Department of Cardio-Vascular Surgery, University Hospital Zurich, Raemistrasse 100, CH-8008 Zurich ZH, Switzerland
b Department of Cardiology, University Hospital Zurich, Zurich ZH, Switzerland

Received 18 September 2003; accepted 20 October 2003.

* Corresponding author. Tel.: +41-1-255-1111; fax: +41-1-255-8920
e-mail: juergp.mueller{at}usz.ch

Key Words: Aortic valve replacement • Pseudoaneurysm • Transesophagal echocardiography

Fourteen days after aortic valve replacement a 60-year-old male patient presented with sternal infection. Subsequent transesophagal echocardiography revealed a huge and pulsatile pseudoaneurysm near the non-coronary sinus of Valsalva. To prevent potential rupture pseudoaneurysm was resected and aortic root replaced with a homograft. Under antibiotic therapy postoperative course was uneventful (Figs. 1 and 2) .



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  		Fig. 1. TEE: CM 23, artificial aortic valve (Carbomedics®); L, left atrium; LVOT, left ventricular outlet tract; PA, pulmonal artery; ->, in-flow from the LVOT to the pseudoaneurysm.

 


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  		Fig. 2. Doppler-TEE of the pseudoaneurysm.

 




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