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September 15, 2026European Heart Journal Supplements

LV plastic surgery and MVR repair a giant LV pseudoaneurysm following subacute MI.

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Population

One 70-year-old woman with a giant left ventricular pseudoaneurysm after subacute myocardial infarction

Design

Case report

Key result

A 70-year-old woman with a giant left ventricular pseudoaneurysm following a subacute myocardial infarction underwent left ventricular plastic surgery and mitral valve replacement.

Authors

FCF CorteseOspedale Madonna Delle GrazieMVM VegliaOspedale Madonna Delle GrazieMFM De FrancescoOspedale Madonna Delle Grazie

Discussion

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Overview

May support surgical repair in select post-MI pseudoaneurysms with mitral disruption; leaves open questions on timing, generalizability, and outcomes.

Key Points

  • Document the diagnosis and surgical management of a giant left ventricular pseudoaneurysm and secondary mitral valve disruption following a subacute myocardial infarction.
  • Transthoracic echocardiography was performed on a 70-year-old female presenting one month after percutaneous revascularization of an occluded right coronary artery (N=1).
  • The patient underwent surgical intervention consisting of left ventricular plastic surgery and biological prosthetic mitral valve replacement.
  • Imaging revealed a giant pseudoaneurysm with a narrow neck along the inferior septum and inferior wall, contained only by localized pericardial adhesions.
  • The pseudoaneurysm disrupted the posteromedial mitral valve apparatus, producing severe mitral regurgitation.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 70-year-old woman presenting with a giant pseudoaneurysm of the left ventricle as a late complication of a subacute myocardial infarction.
I
Intervention
Left ventricular plastic surgery and mitral valve replacement with a biological prosthesis.

This case report highlights the echocardiographic diagnosis and surgical management of a giant left ventricular pseudoaneurysm presenting as a late complication of myocardial infarction.

Cite This Study

Cortese et al. (2026) conducted a case report in Giant pseudoaneurysm of the left ventricle post-myocardial infarction (n=1). Left ventricular plastic surgery and mitral valve replacement was evaluated. A 70-year-old woman with a giant left ventricular pseudoaneurysm following a subacute myocardial infarction underwent left ventricular plastic surgery and mitral valve replacement.

synapsesocial.com/papers/6aa9017deed42882c1fc18e5https://doi.org/10.1093/eurheartjsupp/suag058.303
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Giant left ventricular pseudoaneurysm: a rare complication following left ventricular rupture caused by myocardial infarction2007 · 5 citations
  2. 2Successful Resection of a Giant Left Ventricular Pseudoaneurysm Developed Later after Mitral Valve Replacement2010 · 9 citations
  3. 3Giant Left Ventricular Pseudoaneurysm as a Late Complication of Myocardial Infarction2018 · 3 citations
  4. 4Surgical Treatment of a Giant Postero-Inferior Left Ventricular Pseudoaneurysm Causing Severe Mitral Insufficiency and Congestive Heart Failure2011 · 10 citations
  5. 5An Unusual Presentation of a Large Left Ventricular Pseudoaneurysm2006 · 5 citations