Key result
Double-patch and glue repair, mitral valve replacement, and coronary artery bypass grafting resulted in an uneventful postoperative course for an 85-year-old man with a postinfarction LV pseudoaneurysm.
Case Report (n=1)
No
Double-patch and glue repair combined with mitral valve replacement and CABG can be successfully performed for postinfarction left ventricular pseudoaneurysm in an elderly patient.
An 85-year-old man with appetite loss, lightheadedness, and leg edema was referred to our institution. Computed tomography and transthoracic echocardiography revealed a left ventricular pseudoaneurysm with a maximal diameter of 80 mm and severe mitral regurgitation. Coronary angiography showed 90% stenosis and total occlusion of the left circumflex artery at segments 11 and 12, respectively. He was diagnosed with postinfarction left ventricular pseudoaneurysm and underwent patch repair using two bovine pericardium patches and biological glue, mitral valve replacement, and coronary artery bypass grafting. His postoperative course was uneventful.
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Miyagawa et al. (2020) conducted a case report in Postinfarction left ventricular pseudoaneurysm (n=1). Double-patch and glue repair, mitral valve replacement, and coronary artery bypass grafting was evaluated. Double-patch and glue repair, mitral valve replacement, and coronary artery bypass grafting resulted in an uneventful postoperative course for an 85-year-old man with a postinfarction LV pseudoaneurysm.
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