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KMID : 0390620100180040157
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Journal of Cardiovascular Ultrasound
2010 Volume.18 No. 4 p.157 ~ p.160
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A Case of Left Ventricular Pseudoaneurysm in the Left Atrioventricular Groove after Mitral Valve Replacement
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Jung Hong-Soon
Chung Woo-Baek
Yang Keun-Suk
Yang Hae-Kyung
Gweon Tae-Geun
Lee Guk-Jin
Hong Ji-Hyung
Jung Jung-Im
Song Hyun
Youn Ho-Joong
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Abstract
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Left ventricle-coronary sinus fistula and left ventricular pseudoaneurysm are unusual and frightening complications after mitral valve replacement. A 27-year-old female patient underwent mitral valve replacement 5 years previously and trans-thoracic echocardiography showed an outpouching lesion at the atrioventricular groove. It was difficult to differentiate whether the lesion was a left ventricle-coronary sinus fistula or a left ventricular pseudoaneurysm by two-dimensional echocardiography. Cardiac computed tomography confirmed a left ventricular pseudoaneurysm compressing the coronary sinus.
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KEYWORD
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Pseudoaneurysm, Coronary sinus fistula, Mitral valve replacement
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