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Ann Thorac Surg 1989;48:719-720
© 1989 The Society of Thoracic Surgeons

Articles

Ventricular pseudoaneurysm associated with cardiopulmonary resuscitation 6 weeks after mitral valve replacement

G. Chatson, MD, R. Gallagher, MD, D. Quahliero, MD, D. Ruffett, MD, P. Allmendinger, MD*

Departments of Surgery and Medicine, Hartford Hospital, Hartford, Connecticut USA

Accepted for publication April 12, 1989.

* Address reprint requests to Dr Allmendinger, 85 Seymour St, Hartford, CT 06106.

Trauma to the heart and mediastinum is associated with external cardiac massage. A patient had undergone a redo mitral valve replacement and experienced an uneventful postoperative course. During a visit to her physician 6 weeks after operation, she experienced ventricular fibrillation that required external cardiac massage and subsequent defibrillation. Postresuscitation evaluation revealed a posterior pseudoaneurysm of the ventricle. This was repaired viz a transthoracic approach with the use of profound hypothermia.




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