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Mark S. Adkins
Glenn W. Laub
Samuel B. Pollock
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Ann Thorac Surg 1991;51:476-478
© 1991 The Society of Thoracic Surgeons

Articles

Left ventricular pseudoaneurysm with hemoptysis

Mark S. Adkins, MD*,a,b, Glenn W. Laub, MDa,b, Samuel B. Pollock, MDa,b, Javier Fernandez, MDa,b, Lynn B. McGrath, MDa,b

a Departments of Surgery, Deborah Heart and Lung Center, Browns Mills, USA
b University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey USA

Accepted for publication August 3, 1990.

* Address reprint requests to Dr Adkins, Department of Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, 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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