Left Ventricular Pseudoaneurysm Complicating Mitral Valve Replacement: Transesophageal Echocardiographic Diagnosis and Impact on Management

William B. Baker, Milton S. Klein, Michael J. Reardon, William A. Zoghbi

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Left ventricular pseudoaneurysm formation after mitral valve replacement, although infrequent, is a serious complication with potential catastrophic results. We describe a case of an anterobasal pseudoaneurysm compressing all branches of the left coronary artery, which was missed by initial transthoracic echocardiography and was well characterized with the transesophageal approach. Although the pseudoaneurysm was detected at contrast ventriculography, the transesophageal study provided new specific details regarding the exact site of origin of the pseudoaneurysm and its relationship to the coronary arteries that significantly influenced planning the surgical procedure and patient management.

Original languageEnglish (US)
Pages (from-to)548-552
Number of pages5
JournalJournal of the American Society of Echocardiography
Volume6
Issue number5
DOIs
StatePublished - 1993

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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