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Vithalkumar Malleshi Betigeri
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Ann Thorac Surg 2006;82:2294-2296
© 2006 The Society of Thoracic Surgeons

Case Reports

Left Ventricular Posterior Wall Pseudoaneurysm: A Rare Sequela of Mitral Valve Infective Endocarditis in a Chronic Patient of HLA-B27 Positive Spondyloarthritis

Vithalkumar Malleshi Betigeri, MS, MCha, Rafeeq Abdul Kareem, MS, MCha, Rajagopal Sadasivan Nair, MS, MCha, Suresh Gangadharan Nair, MDb,*, Prakash Kamath, MD, DMc, Shiv Kumar Nair, MS, MCha

a Departments of Cardiovascular and Thoracic Surgery, Cochin, India
b Department of Cardiac Anesthesia, Cochin, India
c Department of Cardiology, Amrita Institute of Medical Sciences, Cochin, India

Accepted for publication February 3, 2006.

* Address correspondence to Dr Nair, Amrita Institute of Medical Science, Amrita Lane, Elamakkara PO, Cochin, 682 026 India. (Email: shivknair{at}aimshospital.org).

Left ventricular posterior wall pseudoaneurysm after native mitral valve infective endocarditis is a very rare occurance. We report such a case in a patient with HLA-B27-associated spondyloarthritis and normal coronary arteries. Excision of the aneurysm with left ventricular reconstruction and mitral valve replacement resulted in an excellent outcome.






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