Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Successful surgical treatment using complex echocardiography in the diagnosis of giant thrombosed pseudoaneurysm of the left ventricle

Authors: Sokol’skaya N.O., Alshibaya M.M., Kopylova N.S., Musaev M.K., Lagutina O.S.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2021-18-4-313-321

UDC: 616.124.2:616.13.002.2-007.649]-073.432.19-089.16

Link: Clinical Physiology of Blood Circulaiton. 2021; 4 (18): 313-321

Quote as: Sokol’skaya N.O., Alshibaya M.M., Kopylova N.S., Musaev M.K., Lagutina O.S. Successful surgical treatment using complex echocardiography in the diagnosis of giant thrombosed pseudoaneurysm of the left ventricle. Clinical Physiology of Circulation. 2021; 18 (4): 313–21 (in Russ.). DOI: 10.24022/1814-6910-2021-18-4-313-321

Received / Accepted:  07.10.2021 / 19.10.2021

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Abstract

In the operating room, the method of transesophageal echocardiography is widely used to ensure the safety of performing cardiac surgery, to obtain complete information about the functional and anatomical features of the structures of the heart. In this clinical case, the possibilities of intraoperative transesophageal echocardiography are presented to clarify the scope of surgical intervention, assess the adequacy of resection of a false left ventricular aneurysm, and anesthetic support in a patient with a complicated form of coronary heart disease. During the operation, detailed echocardiographic data were obtained characterizing the morphofunctional characteristics of LV, central hemodynamics, which made it possible to timely carry out the necessary measures of complex, pathogenetically justified intensive therapy to optimize the outcome of the operation and prevent the development of postoperative complications. Thus, intraoperative transesophageal echocardiography is an effective method of diagnosis and monitoring of intracardiac hemodynamics during resection of a false left ventricular aneurysm with thromboectomy, LV lateral wall rupture plastic surgery

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  1. Sokol’skaya N.O., Alshibaya M.M., Ivanov A.V., Kopylova N.S. The method of Intraoperative transesophageal echocardiography in the diagnosis of left ventricular false aneurysm. Russian Journal of Anaesthesiology and Reanimatology. 2020; 6: 96–101 (in Russ.). DOI: 10.17116/anaesthesiology202006196
  2. Bockeria L.A., Alshibaya M.M., Merzlyakov V.Yu., Sokol’skaya N.O., Kopylova N.S., Skripnik E.V. Intraoperative transesophageal echocardiography in patients with various forms of coronary heart disease. Clinical Physiology of Circulation. 2016; 13 (3): 139–47 (in Russ.).
  3. Bockeria L.A. (Ed.) Cardiovascular surgery – 2019. Moscow; 2020 (in Russ.).
  4. Eren E., Bozbuga N., Toker M.E., Keles C., Rabus M.B., Yildirim O. et al. Surgical treatment of postinfarction left ventricular pseudoaneurysm: a twodecade experience. Tex. Heart Inst. J. 2007; 34 (1): 47–51. PMID: 17420793.
  5. Yeo T.C., Malouf J.F., Reeder G.S., Oh J.K. Clinical characteristics and outcome in postinfarction pseudoaneurysm. Am. J. Cardiol. 1999; 84 (5): 592–5, A8. DOI: 10.1016/s0002-9149(99)00385-9
  6. Yeo T.C., Malouf J.F., Oh J.K., Seward J.B. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann. Intern. Med. 1998; 128 (4): 299–305. DOI: 10.7326/0003-4819-128-4-199802150-00010
  7. Csapo K., Voith L., Szuk T., Edes I., Kereiakes D.J. Postinfarction left ventricular pseudoaneurysm. Clin. Cardiol. 1997; 20 (10): 898–903. DOI: 10.1002/clc.4960201021
  8. Guzmán G., Moya J.L., Catalán P., Ortega J., de Pablo C., Asín E. Seudoaneurisma de ventrículo izquierdo con fístula a ventrículo derecho tras la corrección de una comunicación interventricular postinfarto. Left ventricular pseudoaneurysm with a fistula to right ventricle following previous repair of septal defect after acute myocardial infarction. Rev. Esp. Cardiol. 2000; 53 (9): 1287–91. DOI: 10.1016/s0300-8932(00)75231-6 320 Clinical Cases Clinical Physiology of Circulation. 2021; 18 (4). DOI: 10.24022/1814-6910-2021-18-4-313-321
  9. Hung M.J., Wang C.H., Cherng W.J. Unruptured left ventricular pseudoaneurysm following myocardial infarction. Heart. 1998; 80 (1): 94–7. PMID: 9764070.
  10. Ozerkan F., Gürgün C., Zoghi M., Yavuzgil O., Türkoˇglu C. Large inferoposterior wall pseudoaneurysm of the left ventricle with a thrombus after myocardial infarction. Tex. Heart Inst. J. 1999; 26 (4): 322–3. PMID: 10653269.
  11. Prêtre R., Linka A., Jenni R., Turina M.I. Surgical treatment of acquired left ventricular pseudoaneurysms. Ann. Thorac. Surg. 2000; 70 (2): 553–7. DOI: 10.1016/s0003-4975(00)01412-0
  12. Moreno R., Gordillo E., Zamorano J., Almeria C., Garcia-Rubira J.C., Fernandez-Ortiz A., Macaya C. Long term outcome of patients with postinfarction left ventricular pseudoaneurysm. Heart. 2003; 89 (10): 1144–6. DOI: 10.1136/heart.89.10.1144
  13. Klecha A., Sadowski J., Bryniarski L. et al. Postinfarction left ventricular pseudoaneurysms – analysis of clinical course in five patients. Pol. J.
  14. Cardiol. 2001; 3: 251–6.
  15. Yoda M., Hata M., Sezai A., Niino T., Unosawa S., Wakui S. et al. A surgical case of left ventricular pseudoaneurysm complicating myocardial infarction in a diabetic patient on dialysis. Ann. Thorac. Cardiovasc. Surg. 2007; 13 (3): 213–5. PMID: 17592434.
  16. Ando S., Kadokami T., Momii H., Hironaga K., Kawamura N., Fukuyama T., Minato N. Left ventricular false-pseudo and pseudo aneurysm: serial observations by cardiac magnetic resonance imaging. Intern. Med. 2007; 46 (4): 181–5. DOI: 10.2169/internalmedicine.46.1892
  17. Saraste A., Knuuti J. ESC 2019 guidelines for the diagnosis and management of chronic coronary syndromes: Recommendations for cardiovascular imaging. Herz. 2020; 45 (5): 409–20. DOI: 10.1007/s00059-020- 04935-x
  18. Tuan J, Kaivani F., Fewins H. Left ventricular pseudoaneurysm. Eur. J. Echocardiogr. 2008; 9 (1): 107–9. DOI: 10.1016/j.euje.2007.03.043
  19. Burns C.A., Paulsen W., Arrowood J.A., Tolman D.E., Rose B., Fabian J.A., Spratt J.A. Improved identification of posterior left ventricular pseudoaneurysms by transesophageal echocardiography. Am. Heart J. 1992; 124 (3): 796–9. DOI: 10.1016/0002-8703(92) 90299-b

About Authors

  • Nadezhda O. Sokol’skaya, Dr. Med. Sci., Head of the Group of Emergency Ultrasound and Functional Diagnostics; ORCID
  • Mikhail M. Alshibaya, Dr. Med. Sci., Professor, Head of Department of Surgical Treatment of Coronary Heart Disease; ORCID
  • Natal’ya S. Kopylova, Cand. Med. Sci., Senior Researcher; ORCID
  • Magomedrasul K. Musaev, Head of Department of X-ray Surgical, Electrophysiological Methods of Research and Treatment and Testing of the Latest Technologies;
  • Ol’ga S. Lagutina, Cand. Med. Sci., Anesthesiologist; ORCID

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