PakMediNet

Mohsen Ahmadi, Seyed Hoosein Ahmadi Tafti, Farhad Fathi, Ehsan Fayazzadeh, Armita Mahdavi Gorabi, Mahmoud Shirzad.
Multiple recurrence of infected pseudoaneurysm as a rare complication of ventriculotomy: a case report
Pak Heart J Jan - Mar 2017;50(1):49-52.

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Pseudoaneurysm of the left ventricular is a very rare but lethal condition which could complicate patients after myocardial infarction, cardiac surgery, trauma or infection. Few patients may experience recurrent pseudoaneurysm due to the technical failure or infection. We presented a 57-year old man who developed recurrent infected pseudoaneurysm following a ventriculotomy because of left ventricular aneurysm. His cardiac defect was first repaired using Teflon felt. Then,he returned 3 times with infected pseudoaneurysm for the treatment of which he underwent aneurysmorrhaphy 3 times. Eventually, he died after the last operation due to low cardiac output caused by multiple debridement of the left ventricle.This case implies the necessity of prevention of factors which increase the chance of pseudoaneurysm recurrence including infection and technical failure.