Shariff Masood A, Martingano Daniel, Khan Usman, Goyal Nikhil, Sharma Raman, Rizvi Syed B, Motivala Apurva, Asgarian Kourosh T, Nabagiez John P
Department of Cardiothoracic Surgery, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
Department of Radiology, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
Aorta (Stamford). 2015 Oct 1;3(5):167-71. doi: 10.12945/j.aorta.2015.15.001. eCollection 2015 Oct.
Left ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of a 47-year-old female with a history of intravenous drug abuse and a past surgical history of two AVRs (2001 and 2009 with aortic root replacement for endocarditis) who presented with symptoms of lower extremity weakness. Subsequent radiologic imaging revealed the presence of a left ventricular outflow tract pseudoaneurysm, which was surgically managed with a homologous conduit.
左心室流出道假性动脉瘤是主动脉瓣置换术（AVR）后一种罕见的并发症，最常见于感染性心内膜炎继发。我们报告一例47岁女性，有静脉药物滥用史，既往有两次主动脉瓣置换术手术史（2001年和2009年因感染性心内膜炎行主动脉根部置换术），出现下肢无力症状。随后的影像学检查显示存在左心室流出道假性动脉瘤，通过使用同种异体管道进行手术治疗。
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