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Ann Thorac Surg 1999;68:252-254
© 1999 The Society of Thoracic Surgeons

Case Reports

Repeat syncopal attacks due to postsurgical right ventricular pseudoaneurysm

Raffaele Calabrò, MDa, Giuseppe Santoro, MDa, Carlo Pisacane, MDa, Giuseppe Pacileo, MDa, Maria Giovanna Russo, MDa, Carlo Vosa, MDb

a Department of Pediatric Cardiology, II University of Naples, "V. Monaldi" Hospital Naples, Naples, Italy
b Department of Cardiac Surgery, II University of Naples, "V. Monaldi" Hospital, Naples, Italy

Address reprint requests to Dr Calabrò, Department of Pediatric Cardiology, "V. Monaldi" Hospital, Via Bracco, 71, Naples 80131, Italy
e-mail: mocarped{at}tin.it

Pseudoaneurysm of the right ventricular outflow tract is a rare lesion caused by disruption of the ventricular wall that allows the blood to leak into the surrounding space. It often complicates surgery involving right ventriculotomy and progressively increases in size, therefore causing airway compression, pulmonary perfusion asymmetry, thromboembolism, and rupture. We report on a patient who developed right ventricular pseudoaneurysm early after surgery for atrio-ventricular septal defect with tetralogy of Fallot and needed emergency surgical repair due to low cardiac output and repeat syncopal attacks.




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