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The Annals of Thoracic Surgery, Vol 51, 476-478, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Left ventricular pseudoaneurysm with hemoptysis

MS Adkins, GW Laub, SB Pollock, J Fernandez and LB McGrath
Department of Surgery, Deborah Heart and Lung Center, Browns Mills, NJ 08015.

A 53-year-old man who had previously undergone resection of a left ventricular aneurysm was admitted because of hemoptysis. Preoperative evaluation with computed tomographic scan and cardiac catheterization demonstrated a pseudoaneurysm of the inferior ventricular wall measuring 16 cm in diameter with protrusion into the left hemithorax. The neck of the pseudoaneurysm was a defect in the ventricular wall extending from the base of the mitral valve annulus to the insertion of the posterior papillary muscle. Operative repair was performed using an albumin-coated, low-porosity Dacron patch.


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