Images in clinical medicine | Volume 36, Article 189, 16 Jul 2020 | 10.11604/pamj.2020.36.189.22696

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium

Ayoub Abetti, Marouane Ouazzani Ibrahimi

Corresponding author: Ayoub Abetti, Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, France

Received: 06 Apr 2020 - Accepted: 20 Apr 2020 - Published: 16 Jul 2020

Domain: Cardiovascular surgery

Keywords: Pseudoaneurysm, left ventricle, DOR technique

©Ayoub Abetti et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ayoub Abetti et al. A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium. Pan African Medical Journal. 2020;36:189. [doi: 10.11604/pamj.2020.36.189.22696]

Available online at: https://www.panafrican-med-journal.com/content/article/36/189/full

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Images in clinical medicine

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium

Ayoub Abetti1,2,&, Marouane Ouazzani Ibrahimi1

 

1Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, France, 2Department of Cardiovascular Surgery, Mohammed IV university medical center, Mohammed the first university Oujda, Morocco

 

 

&Corresponding author
Ayoub Abetti, Department of Cardiovascular Surgery, Arnaud de Villeneuve Hospital, University Hospital of Montpellier, France

 

 

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This is the case of a 78 years old patient with a history of acute coronary syndrome complicated by rupture of the left ventricle. The ventricular wall defect was closed by tachosyl heamostatic patchs and gluing. 2 months after the occurrence of the acute coronary syndrom, computed tomography detected a huge apical pseudoaneurysm of the left ventricle ruptured into the pericardium (A). The patient underwent median sternotomy and cardiopulmonary bypass associated with a moderate hypothermia at 28°C, then, we performed the DOR technique for the cure of the pseudoaneurysm (B), using a Gore Tex patch and Teflon felt support (C,D).

 

 

Figure 1: A) computed tomography showing a huge Apical pseudoaneurysm of the left ventricle with extravasation of the radiocontrast agent in the pericardium; B) a perioperative view showing the apical pseudoaneurysm of the left ventricle; C) a perioperative view showing the closure of the defect by a Gore Tex patch; D) a perioperative view showing the closure of the remaining re-entries by teflon felt support

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium

Images in clinical medicine

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium

Images in clinical medicine

A large apical pseudoaneurysm of the Left ventricle ruptured into the pericardium