Giant ventricular pseudoaneurysm and associated eccentric severe mitral regurgitation: Surgery or follow-up? Dev ventriküler psödoanevrizma ve ilişkili egzantrik ciddi mitral yetersizliği: Cerrahi mi, takip mi?
Turk Kardiyoloji Dernegi Arsivi, cilt.49, sa.8, ss.688-692, 2020 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 49 Sayı: 8
- Basım Tarihi: 2020
- Doi Numarası: 10.5543/tkda.2021.21148
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.688-692
- Anahtar Kelimeler: Post-infarction left ventricular free-wall rupture, ventricular pseudoaneurysm, mitral regurgitation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Summary– A ventricular pseudoaneurysm develops mainly after myocardial infarction complicated by a ventricular free wall rupture contained by localized pericardial adhesions. The risk of rupture in untreated pseudoaneurysms is approximately 30%-45%, and the mortality rate is 50%. Although there is no clear evidence of treatment in the literature, the main suggestion is to perform surgical treatment without delay. However, the age of the patients, additional comorbidities, and the accompanying severe mitral regurgitation and left ventricular systolic dysfunction considerably increase the mortality rate of the surgical procedure. The treatment of left ventricular pseudoaneurysm accompanied by severe mitral regurgitation has not been clarified in the literature, and patient-based individual approaches vary. In this case report, the clinical course of the three patients was explained with different treatment approaches, and we tried to create a resource for treatment approaches in light of the literature.