Key result
Endoventricular patch plasty (Dor procedure) successfully treated a rare basal pseudoaneurysm of the lateral wall of the left ventricle in a 58-year-old man.
Why the study?
Left ventricle pseudoaneurysm is a rare, serious complication with high mortality due to risk of rupture, commonly following myocardial infarction.
Case Report (n=1)
This case report describes a rare basal pseudoaneurysm of the lateral left ventricular wall in a patient without prior myocardial infarction, successfully treated with surgical reconstruction.
May guide rare basal LV pseudoaneurysm management; leaves open need for larger outcome studies.
Left ventricle pseudoaneurysm is a rare but serious complication, most often secondary to myocardial infarction. It is associated with high mortality due to a significant risk of rupture. We present a case of a patient with a large basal pseudoaneurysm of the lateral wall of the left ventricle. The pseudoaneurysm is discovered from a chest radiography performed after a COVID-19 infection. The diagnosis is confirmed by echocardiography and ventriculography. The patient underwent surgical treatment by endoventricular patch plasty – Dor procedure. The patient in our case lacked the typical symptoms and ECG features, furthermore he had no history of myocardial infarction, cardiac surgery, trauma or endocarditis.
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Grigorov et al. (2022) conducted a case report in Left ventricular pseudoaneurysm (n=1). Endoventricular patch plasty (Dor procedure) was evaluated. Endoventricular patch plasty (Dor procedure) successfully treated a rare basal pseudoaneurysm of the lateral wall of the left ventricle in a 58-year-old man.
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