Left thoracotomy approach for left ventricular pseudoaneurysm due to myocardial infarction after mitral valve replacement for papillary muscle rupture

• DOI: 10.1111/jocs.14851
• Publication Date: 2020-07-11T21:31:55Z
• Authors: Sho Kusadokoro; Daijiro Hori; Kento Fujii; Atsushi Yamaguchi
• Keywords: Mitral valve replacement; Thoracotomy; Papillary muscle; Pseudoaneurysm; Median sternotomy; Heart Rupture

A 59-year-old man with acute mitral regurgitation due to papillary muscle rupture after myocardial infarction was admitted our hospital. He underwent emergent valve replacement a mechanical by median sternotomy. Although postoperative echocardiography showed no sign of ventricular aneurysm, performed 5 weeks the surgery enlarging left pseudoaneurysm inferior posterior cardiac wall. dacron patch closure orifice fifth intercostal thoracotomy. The course uneventful and he discharged on day 10. patient successfully treated for two life-threatening complications occurring subsequently infarction.