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Ertan Sagbas
Belhhan Akpinar
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Eur J Cardiothorac Surg 2005;27:713
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

A left ventricular pseudoaneurysm due to mitral valve replacement

Ilhan Sanisoglua,*, Cihan Duranb, Ertan Sagbasa, Belhhan Akpinara

a Department of Cardiovascular Surgery, Florence Nightingale Hospital, Istanbul, Turkey
b Department of Radiology, Florence Nightingale Hospital, Istanbul, Turkey

Received 3 January 2005; received in revised form 11 January 2005; accepted 12 January 2005.

* Corresponding author. Address: Department of Cardiac Surgery, Florence Nightingale Hospital, Abide-i Hürriyet Cad. No. 280 Sisli, Istanbul, Turkey. Tel.: +90 212 2244950 4173; fax: +90 212 2258396. (E-mail: isanisoglu{at}yahoo.com).

Key Words: Pseudoaneurysm • Bioprosthesis • Mitral valve

A posterior left ventricular pseudoaneurysm was detected in a 80-year-old female patient during echocardiographic examination 3 years after mitral valve replacement with bioprosthesis. Cardiac MRI confirmed the diagnosis (Figs. 1 and 2). The patient, who is in NYHA class II, refused to be reoperated and is under follow-up with medical treatment.



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  		Fig. 1. Oblique multiplanary reformation image: big arrow shows posterior pseudoaneurysm of left ventricle (5.5x4cm) and small arrow shows the horn of the bioprosthesis which was thought as the possible cause of the pseudoaneurysm.

 



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  		Fig. 2. Oblique truefisp cine sequence image shows posterior pseudoaneurysm of left ventricle (white arrow).

 




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Ertan Sagbas
Belhhan Akpinar
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