Key result
Surgical repair via median sternotomy successfully resolves a huge LVOT pseudoaneurysm in a 26-year-old man.
Why the study?
Pseudoaneurysms arising from the left ventricular outflow tract are rarely reported, creating a need to describe surgical treatment approaches.
Case Report (n=1)
Surgical repair through median sternotomy is a viable and successful treatment for rare, huge left ventricular outflow tract pseudoaneurysms.
Answers are grounded in this paper and cite their sources.
Supports feasibility of median sternotomy repair for huge LVOT pseudoaneurysms; hypothesis-generating and should not change practice.
Pseudoaneurysms arising from the left ventricular outflow tract are rarely reported. We report a 26-year-old man who was admitted with paroxysmal chest pain and dyspnoea on exertion. Computed tomography revealed the presence of a pseudoaneurysm (93 × 77 mm), and the communication was below the aortic annulus. Through median sternotomy, a huge pulsatile pseudoaneurysm was exposed, and an 8-mm-diameter communication of the pseudoaneurysm in the left ventricular outflow tract wall was visualized. The defect was successfully repaired, and the postoperative course was uneventful.
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Li et al. (2018) conducted a case report in Left ventricular outflow tract pseudoaneurysm (n=1). Surgical repair was evaluated on Successful repair and postoperative course. Surgical repair of a huge left ventricular outflow tract pseudoaneurysm via median sternotomy was successful with an uneventful postoperative course in a 26-year-old man.
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