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KMID : 0364020110440030247
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Korean Journal of Thoracic and Cardiovascular Surgery
2011 Volume.44 No. 3 p.247 ~ p.249
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Left Ventricular Pseudo-pseudoaneurysm with Hemopericardium
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Kim Hye-Seon
Kim Kyung-Hwan
Hwang Ho-Young
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Abstract
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We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.
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KEYWORD
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Psendoaneurysm, Ventricular aneurysm, Myocardial infarction
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