Primary Infected Left Ventricular Pseudoaneurysm and the Use of Omental Flap

A 55-year-old man with autoimmune deficiency syndrome presented with an infected left ventricular pseudoaneurysm and sepsis. The aneurysmectomy consisted of a Dor-style pericardial patch plus debridement of the abscess cavities. The infected pseudoaneurysm recurred, much larger, within five months d...

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Bibliographic Details
Published in:	The Heart surgery forum Vol. 19; no. 6; p. E262
Main Authors:	Aru, Giorgio Maria, Kim, Tad, Aru, Roberto Giorgio, Vinson, Mary Carolyn
Format:	Journal Article
Language:	English
Published:	United States 01-12-2016
Subjects:	Aneurysm, False - diagnosis Aneurysm, False - surgery Aneurysm, Infected - diagnosis Aneurysm, Infected - surgery Cardiac Surgical Procedures - methods Echocardiography Heart Aneurysm - diagnosis Heart Aneurysm - surgery Heart Ventricles Humans Male Middle Aged Omentum - transplantation Surgical Flaps Tomography, X-Ray Computed
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Summary:	A 55-year-old man with autoimmune deficiency syndrome presented with an infected left ventricular pseudoaneurysm and sepsis. The aneurysmectomy consisted of a Dor-style pericardial patch plus debridement of the abscess cavities. The infected pseudoaneurysm recurred, much larger, within five months due to persistent infected abscess cavities. The second repair was done without a Dor-style patch and with an omental flap. No recurrence has occurred one year after the second repair, but the patient has asymptomatic, partial gastric herniation inside the pericardium. This is the first description of a primary infected left ventricular pseudoaneurysm. The omental flap contributed to the successful treatment.
ISSN:	1522-6662
DOI:	10.1532/hsf.1446