- Case report
- Open Access
- Open Peer Review
Left ventricular postoperative false aneurysm following apical venting
© Bizzarri et al; licensee BioMed Central Ltd. 2006
- Received: 22 September 2006
- Accepted: 07 November 2006
- Published: 07 November 2006
We report a case of false aneurysm of the left ventricle occurring subsequently to the placing of a vent sump line through the apex during an aortic valve procedure; the diagnosis was made twelve months later during a routine echocardiographic examination. The lesion was successfully repaired. This case recommend the use of other routes of venting in order to reduce the incidence of such complications.
- Left Ventricle
- Infective Endocarditis
- Myocardial Injury
- Chest Trauma
The lesion was successfully treated under cardiopulmonary by-pass and cardioplegic arrest. The mass was completely isolated, opened and identified as a false aneurysm. It appeared as a 5 cm × 3 cm red sac with free blood inside. The previous site of venting was identified and the cavity connected to the left ventricle (3 mm in diameter) closed with interrupted pledgeted polipropilene sutures. The patient was easily weaned off bypass and was discharged six days later.
Although effective, the apical venting can determine complications such as myocardial injury as well as serious difficulties in closing the vent site.
Because of the severity of the mentioned complication we recommend the use of different routes of left ventricular venting in order to prevent the risk of such complications.
- Kao CL, Chang JP: Left ventricular pseudoaneurysm secondary to left ventricular apical venting. Tex heart inst j. 2003, 30: 162-3.PubMedPubMed CentralGoogle Scholar
- Mazzola A, Gregoriani R: Left ventricular pseudoaneurysm secondary to left ventricular venting through the right superior pulmonary vein. Ital Heart J. 2004, 5 (11): 881-882.PubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.