Primary Infected Left Ventricular Pseudoaneurysm and the Use of Omental Flap

• 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
• ISSN: 1522-6662
• DOI: 10.1532/hsf.1446

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.