Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve Replacement. 2015

Masood A Shariff, and Daniel Martingano, and Usman Khan, and Nikhil Goyal, and Raman Sharma, and Syed B Rizvi, and Apurva Motivala, and Kourosh T Asgarian, and John P Nabagiez
Department of Cardiothoracic Surgery, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.

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.

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