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Ann Thorac Surg 2002;73:1303-1305
© 2002 The Society of Thoracic Surgeons

Case report

Left ventricular pseudoaneurysm late after mitral valve replacement

Minoru Ono, MD*a, Randall K. Wolf, MDa

a Division of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio, USA

Accepted for publication August 17, 2001.

* Address reprint requests to Dr Ono, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
e-mail: ono-tho{at}h.u-tokyo.ac.jp

We report an unusual case of left ventricular pseudoaneurysm late after mitral valve replacement. A 60-year-old woman, who had undergone aortic and mitral valve replacement using mechanical prostheses 4 months previously, presented with severe congestive heart failure. The computed tomographic scan of the chest demonstrated a large mass displacing the heart anteriorly. The orifice of the pseudoaneurysm was successfully closed on the beating heart using partial femorofemoral bypass through a left thoracotomy.




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