Archives of the Turkish Society of Cardiology
Giant ventricular pseudoaneurysm and associated eccentric severe mitral regurgitation: Surgery or follow-up? [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2021; 49(8): 688-692 | DOI: 10.5543/tkda.2021.21148

Giant ventricular pseudoaneurysm and associated eccentric severe mitral regurgitation: Surgery or follow-up?

Serkan Asil1, Veysel Özgür Barış2, Suat Görmel1, Murat Çelik1, Uygar Çağdaş Yüksel1
1Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
2Department of Cardiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey

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.


How to cite this article
Serkan Asil, Veysel Özgür Barış, Suat Görmel, Murat Çelik, Uygar Çağdaş Yüksel. Giant ventricular pseudoaneurysm and associated eccentric severe mitral regurgitation: Surgery or follow-up?. Turk Kardiyol Dern Ars. 2021; 49(8): 688-692

Corresponding Author: Serkan Asil
Manuscript Language: English
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