Hayashi Kyoka, Ushioda Ryohei, Maruoka Jun, Shimizu Kaname, Shirakura Kentaro, Mochizuki Nobuhiro, Setogawa Yuki, Okubo Ryo, Hiroyuki Miyamoto, Takahashi Shougo, Kunioka Shingo, Tsutsui Masahiro, Hiroyuki Kamiya
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.
J Surg Case Rep. 2024 Oct 7;2024(10):rjae636. doi: 10.1093/jscr/rjae636. eCollection 2024 Oct.
A 78-year-old man underwent pericardial patch repair for left ventricular (LV) rupture during mitral valve replacement. After the first operation, a huge (>10 cm) LV pseudoaneurysm was detected, necessitating reoperation. LV rupture is a rare but often fatal complication of mitral valve replacement. Although repair of LV rupture during mitral valve replacement has been reported, the development of pseudoaneurysm after such repair is exceedingly rare. In this case, we successfully treated a huge LV pseudoaneurysm using two pericardial patches to sandwich the rupture hole from the inside.
一名78岁男性在二尖瓣置换术中因左心室（LV）破裂接受心包补片修复。首次手术后，检测到一个巨大（>10 cm）的左心室假性动脉瘤，需要再次手术。左心室破裂是二尖瓣置换术罕见但常致命的并发症。虽然已有二尖瓣置换术中左心室破裂修复的报道，但此类修复后假性动脉瘤的发生极为罕见。在本病例中，我们使用两片心包补片从内部夹住破裂孔，成功治疗了巨大的左心室假性动脉瘤。
