A large apical pseudoaneurysm of the left ventricle ruptured into the pericardium

Abstract

This is the case of a 78 years old patient with a history of acute coronary syndrome complicated by rupture of the left ventricle. The ventricular wall defect was closed by tachosyl heamostatic patchs and gluing. Two months after the occurrence of the acute coronary syndrom, computed tomography detected a huge apical pseudoaneurysm of the left ventricle ruptured into the pericardium (A). The patient underwent median sternotomy and cardiopulmonary bypass associated with a moderate hypothermia at 28°C, then, we performed the DOR technique for the cure of the pseudoaneurysm (B), using a Gore Tex patch and Teflon felt support (C,D).

Keywords

• pseudoaneurysm
• left ventricle
• dor technique