Daniel J. Weber, MD, MS, Ahmad Y. Sheikh, MD, Brian S. Cain, MD, Jay I

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Presentation transcript:

Repair of Enlarging Left Ventricular Pseudoaneurysm Two Months After Coronary Artery Bypass Grafting Daniel J. Weber, MD, MS, Ahmad Y. Sheikh, MD, Brian S. Cain, MD, Jay I. LaBourene, MD, Vicken Melikian, MD The Annals of Thoracic Surgery Volume 107, Issue 1, Pages e37-e39 (January 2019) DOI: 10.1016/j.athoracsur.2018.05.030 Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Representative computed tomography images of the enlarging left ventricular pseudoaneurysm. Coronal images at (A) 4 and (B) 8 weeks after coronary artery bypass grafting demonstrate enlargement of the aneurysm from 3.2 × 3.4 cm to 5.0 × 5.1 cm. (C, D) Axial images also demonstrate an approximately 2-cm enlargement of the left ventricular pseudoaneurysm over 4 weeks. The Annals of Thoracic Surgery 2019 107, e37-e39DOI: (10.1016/j.athoracsur.2018.05.030) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative images from repair. (A) Exposure of the pseudoaneurysm through a left thoracotomy. (B) Pseudoaneurysm after being divided with defect into the left ventricle. (C) Repair with pericardial/polytetrafluoroethylene felt patch and apical left ventricular vent in place. (D) Final repair with pericardium closed over the patch. The Annals of Thoracic Surgery 2019 107, e37-e39DOI: (10.1016/j.athoracsur.2018.05.030) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions