Key result
Coronary bypass and LV restoration successfully treats a heavily calcified LV pseudoaneurysm in one patient.
Case Report (n=1)
Surgical repair of a chronic, heavily calcified left ventricular pseudoaneurysm can be successfully performed with excellent long-term functional outcomes.
May support excellent long-term outcomes after repair; extends sparse case evidence but should not yet change practice.
Cardiac pseudoaneurysm is a contained rupture of the myocardium limited by pericardial adhesions or the epicardial wall. Cardiac pseudoaneurysm may cause sudden death with a mortality of 30-45% in the first year, mostly resulting from rupture. Coronal and axial T2-weighted magnetic resonance images of a 65-year-old male patient admitted with dyspnoea, coughing and chest pain, present for the last 10 days, revealed a large pseudoaneursym of the left ventricle. Coronary bypass and left ventricular restoration operation was performed. The patient was eventlessly discharged 8 days after operation. He is in NYHA Class I 21 months postoperatively. The interval between myocardial insult and establishment of diagnosis is unknown in our patient. This is a patient whose left ventricular rupture had been contained for a very long time, possibly years, because a heavily calcified thick pseudoaneurysm wall was encountered during operation, making this case rare in the literature.
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Demïrtürk et al. (2017) conducted a case report in Calcified left ventricular pseudoaneurysm (n=1). Coronary bypass and left ventricular restoration operation was evaluated on Clinical outcome (NYHA class). Coronary bypass and left ventricular restoration successfully treated a 65-year-old man with a heavily calcified left ventricular pseudoaneurysm, resulting in NYHA Class I status at 21 months.
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