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J Chest Surg

Published online February 20, 2025 https://doi.org/10.5090/jcs.24.105

Copyright © Journal of Chest Surgery.

Management of Concurrent Left Ventricular Pseudoaneurysm and Mitral Annular Calcification: A Case Report

Douglas Tran , M.D., Kevin Ho , B.S., David Zapata , M.D.

Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

Correspondence to:Douglas Tran
Tel 1-410-328-5842
Fax 1-410-328-2750
E-mail douglas.tran@som.umaryland.edu
ORCID https://orcid.org/0000-0001-9231-440X

Received: October 15, 2024; Revised: December 12, 2024; Accepted: December 22, 2024

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes. Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.

Keywords: Mitral valve, Pseudoaneurysm, Calcinosis, Case reports

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J Chest Surg

Published online February 20, 2025 https://doi.org/10.5090/jcs.24.105

Copyright © Journal of Chest Surgery.

Management of Concurrent Left Ventricular Pseudoaneurysm and Mitral Annular Calcification: A Case Report

Douglas Tran , M.D., Kevin Ho , B.S., David Zapata , M.D.

Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

Correspondence to:Douglas Tran
Tel 1-410-328-5842
Fax 1-410-328-2750
E-mail douglas.tran@som.umaryland.edu
ORCID https://orcid.org/0000-0001-9231-440X

Received: October 15, 2024; Revised: December 12, 2024; Accepted: December 22, 2024

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes. Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.

Keywords: Mitral valve, Pseudoaneurysm, Calcinosis, Case reports

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