Eur J Cardiothorac Surg 2004;26:647
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Left ventricular false aneurysm following mitral valve replacement for endocarditis
Heyman Luckraza*,
Geraint Jenkinsb,
Anthony Daviesc,
Vincenzo Arganoa
a Cardiothoracic Unit, Morriston Hospital, Swansea NHS Trust, Swansea SA6 6NL, UK
b Department of Cardiology, Morriston Hospital, Swansea NHS Trust, Swansea SA6 6NL, UK
c Department of Radiology, Morriston Hospital, Swansea NHS Trust, Swansea SA6 6NL, UK
Received 27 April 2004;
received in revised form 19 May 2004;
accepted 19 May 2004.
* Corresponding author. Tel.: +44-1792-70-2222; fax: +44-1792-70-3242
e-mail: heymanluckraz{at}aol.com
Key Words: Giant pseudo-aneurysm • Valve endocarditis
A 32-year-old male underwent mitral valve replacement for staphylococcus aureus endocarditis and myocardial abscess free drainage into the left ventricular cavity. Post-operatively, he developed a giant pseudo-aneurysm as shown in Figs. 1 and 2
. He successfully underwent redo-MVR and closure of the neck of abscess which was just distal to the annulus.
View larger version (135K):
[in this window]
[in a new window]
|
Fig. 1. Coronal view of a re-formatted CT scan image with contrast showing the right ventricle (RV), left ventricle (LV), and a pericardial haematoma (PH). ‘L’ represents the level of the rupture of the myocardial abscess and its connection to the pericardial space.
|
|
View larger version (124K):
[in this window]
[in a new window]
|
Fig. 2. CT 3-D reconstruction with contrast showing the right ventricle (RV), left ventricle (LV), and the pericardial haematoma (PH) RA, right atrium; PA, pulmonary artery.
|
|
