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Ann Thorac Surg 2008;85:643-645. doi:10.1016/j.athoracsur.2007.08.070
© 2008 The Society of Thoracic Surgeons
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Kenji Yamazaki
Shinichiro Kihara
Satoshi Saito
Masayuki Miyagishima
Shigeyuki Aomi
Hiromi Kurosawa
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Case Reports

Transatrial Repair of Submitral Left Ventricular Pseudoaneurysm

Takashi Miura, MD*, Kenji Yamazaki, MD, Shinichiro Kihara, MD, Satoshi Saito, MD, Masayuki Miyagishima, MD, Shigeyuki Aomi, MD, Hiromi Kurosawa, MD

Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan

Accepted for publication August 14, 2007.

* Address correspondence to Dr Miura, Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan (Email: takashiren{at}yahoo.co.jp).

In a 57-year-old man with Wolff-Parkinson-White syndrome, a left ventricular pseudoaneurysm developed, induced by the pop phenomenon, after radiofrequency catheter ablation of the posterolateral accessory pathway. The pseudoaneurysm was positioned at the atrioventricular groove with moderate pericardial adhesions, and the rupture site was located just below the P3 annulus of the posterior mitral leaflet. With this anatomy and in the presence of adhesions, we repaired the rupture site from within the heart through an incision made in the posterior mitral leaflet. This transmitral approach might be a reasonable surgical option for treating this type of submitral left ventricular pseudoaneurysm.






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