European Journal of Cardio-Thoracic Surgery Advance Access published April 15, 2015
Cite this article as: D’Onofrio A, Bizzotto E, Rubino M, Gerosa G. Left ventricular pseudoaneurysm after transapical aortic valve-in-valve implantation. Eur J Cardiothorac Surg 2015; doi:10.1093/ejcts/ezv144.
Left ventricular pseudoaneurysm after transapical aortic valve-in-valve implantation Augusto D’Onofrio*, Eleonora Bizzotto, Maurizio Rubino and Gino Gerosa Division of Cardiac Surgery, University of Padova, Padova, Italy * Corresponding author. Division of Cardiac Surgery, Azienda Ospedaliera-University of Padova, Centro Gallucci, Via Giustianini 2, 35128 Padova, Italy. Tel: +39-049-8212410; fax: +39-049-8212409; e-mail: [email protected] (A. D’Onofrio). Received 12 February 2015; received in revised form 4 March 2015; accepted 12 March 2015
A 75-year old man underwent transapical aortic valve-invalve implantation for structural deterioration of a previously implanted bioprosthesis. Preoperative logistic EuroSCORE I and EuroSCORE II were 17 and 7.5%, respectively. He was readmitted to our institution 2 months later for severe dyspnoea. A large false aneurysm of the left ventricle was diagnosed (Fig. 1,
Video 1) and a successful surgical reoperation (Fig. 2) was performed. Conflict of interest: Augusto D’Onofrio is a physician proctor for Edwards Lifesciences.
Figure 1: Computer tomography 3D reconstruction of the false aneurysm of the left ventricle. The discontinuity of the left ventricular apex that originates the pseudoaneurysm is clearly visible (A). The transcatheter valve (Sapien XT, Edwards Lifesciences, Irvine, CA, USA), the radiopaque stent of the previously implanted aortic bioprosthesis (arrow) and the relationship with the false aneurysm are shown in B.
© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES IN CARDIOTHORACIC SURGERY
IMAGES IN CARDIO-THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery 0 (2015) 1–2 doi:10.1093/ejcts/ezv144
2
A. D’Onofrio et al. / European Journal of Cardio-Thoracic Surgery
Video 1: This video shows the relationship between the transcatheter valve and the false aneurysm of the left ventricle. Furthermore, the correct conical shape of the transcatheter valve inside the surgical bioprosthesis is well visible. Figure 2: Intraoperative picture showing the cavity of the false aneurysm (black arrow) and the discontinuity of the left ventricular apex (yellow arrow).
Cite this article as: D’Onofrio A, Bizzotto E, Rubino M, Gerosa G. Left ventricular pseudoaneurysm after transapical aortic valve-in-valve implantation. Eur J Cardiothorac Surg 2015; doi:10.1093/ejcts/ezv144.
Left ventricular pseudoaneurysm after transapical aortic valve-in-valve implantation Augusto D’Onofrio*, Eleonora Bizzotto, Maurizio Rubino and Gino Gerosa Division of Cardiac Surgery, University of Padova, Padova, Italy * Corresponding author. Division of Cardiac Surgery, Azienda Ospedaliera-University of Padova, Centro Gallucci, Via Giustianini 2, 35128 Padova, Italy. Tel: +39-049-8212410; fax: +39-049-8212409; e-mail: [email protected] (A. D’Onofrio). Received 12 February 2015; received in revised form 4 March 2015; accepted 12 March 2015
A 75-year old man underwent transapical aortic valve-invalve implantation for structural deterioration of a previously implanted bioprosthesis. Preoperative logistic EuroSCORE I and EuroSCORE II were 17 and 7.5%, respectively. He was readmitted to our institution 2 months later for severe dyspnoea. A large false aneurysm of the left ventricle was diagnosed (Fig. 1,
Video 1) and a successful surgical reoperation (Fig. 2) was performed. Conflict of interest: Augusto D’Onofrio is a physician proctor for Edwards Lifesciences.
Figure 1: Computer tomography 3D reconstruction of the false aneurysm of the left ventricle. The discontinuity of the left ventricular apex that originates the pseudoaneurysm is clearly visible (A). The transcatheter valve (Sapien XT, Edwards Lifesciences, Irvine, CA, USA), the radiopaque stent of the previously implanted aortic bioprosthesis (arrow) and the relationship with the false aneurysm are shown in B.
© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES IN CARDIOTHORACIC SURGERY
IMAGES IN CARDIO-THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery 0 (2015) 1–2 doi:10.1093/ejcts/ezv144
2
A. D’Onofrio et al. / European Journal of Cardio-Thoracic Surgery
Video 1: This video shows the relationship between the transcatheter valve and the false aneurysm of the left ventricle. Furthermore, the correct conical shape of the transcatheter valve inside the surgical bioprosthesis is well visible. Figure 2: Intraoperative picture showing the cavity of the false aneurysm (black arrow) and the discontinuity of the left ventricular apex (yellow arrow).
