Skip to main content
Log in

Successfully treated infected left ventricular pseudoaneurysm after the Dor operation

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 65-year-old woman received a bovine pericardial patch repair with a sutureless technique for a left ventricular free-wall rupture. Three months later the Dor operation was performed for a left ventricular aneurysm. She was admitted again with a mycotic aneurysm 15 months after the Dor operation. Computed tomography suggested a rupture of the pseudoaneurysm due to a damaged endoventricular patch. An emergency Dor reoperation was performed with profound hypothermia. Right thoracotomy was performed with insertion of a left vent catheter via the right upper pulmonary vein in order to prevent ventricular distention. Omentopexy was performed to avoid infection of the mediastinum. The patient had an uneventful postoperative course.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dor V, Sabatier M, Di Donato M, Montiglio F, Toso A, Maioli M. Efficacy of endoventricular patch plasty in large postinfarction akinetic scar and severe left ventricular dysfunction: Comparison with a series of large dyskinetic scars. J Thorac Cardiovasc Surg 1998; 116: 50–9.

    Article  PubMed  CAS  Google Scholar 

  2. Pretre R, Linka A, Jenni R, Turina MI. Surgical treatment of acquired left ventricular pseudoaneurysms. Ann Thorac Surg 2000; 70: 553–7.

    Article  PubMed  CAS  Google Scholar 

  3. Iha K, Ikemura R, Higa N, Akasaki M, Kuniyoshi Y, Koja K. Left ventricular pseudoaneurysm after sutureless repair of subacute left ventricular free wall rupture: A case report. Ann Thorac Cardiovasc Surg 2001; 7: 311–4.

    PubMed  CAS  Google Scholar 

  4. Schneiderman H, Bloom K, Shima M, Ezri M, Goldin M. Staphylococcal abscess complicating endocardial aneurysmectomy. Clin Cardiol 1984; 7: 624–6.

    Article  PubMed  CAS  Google Scholar 

  5. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998; 32: 557–61.

    Article  PubMed  CAS  Google Scholar 

  6. Dumont E, Carrier M, Cartier R, Pellerin M, Poirier N, Bouchard D, et al. Repair of aortic false aneurysm using deep hypothermia and circulatory arrest. Ann Thorac Surg 2004; 78: 117–21.

    Article  PubMed  Google Scholar 

  7. Cina CS, Arena GO, Fiture AO, Clase CM, Doobay B. Ruptured mycotic thoracoabdominal aortic aneurysms: A report of three cases and a systematic review. J Vasc Surg 2001; 33: 861–7.

    Article  PubMed  CAS  Google Scholar 

  8. Gundry SR. Facile left ventricular deairing by administration of cardioplegia into the left ventricular vent. Ann Thorac Surg 1998; 66: 2117–8.

    Article  PubMed  CAS  Google Scholar 

  9. Wilhelm MJ, Schmid C, Hammel D, Kerber S, Loick HM, Hermann M, et al. Cardiac pacemaker infection: Surgical management with and without extracorporeal circulation. Ann Thorac Surg 1997; 64: 1707–12.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aoyama, T., Kawaguchi, O., Teramoto, T. et al. Successfully treated infected left ventricular pseudoaneurysm after the Dor operation. Jpn J Thorac Caridovasc Surg 54, 128–131 (2006). https://doi.org/10.1007/BF02744877

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02744877

Key words

Navigation