Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve Replacement

Masood A Shariff; Daniel Martingano; Usman Khan; Nikhil Goyal; Raman Sharma; Syed B Rizvi; Apurva Motivala; Kourosh T Asgarian; John P Nabagiez

doi:10.12945/j.aorta.2015.15.001

Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve Replacement

Aorta (Stamford). 2015 Oct 1;3(5):167-71. doi: 10.12945/j.aorta.2015.15.001. eCollection 2015 Oct.

Authors

Masood A Shariff¹, Daniel Martingano¹, Usman Khan¹, Nikhil Goyal², Raman Sharma¹, Syed B Rizvi³, Apurva Motivala³, Kourosh T Asgarian¹, John P Nabagiez¹

Affiliations

¹ Department of Cardiothoracic Surgery, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
² Department of Radiology, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
³ Department of Cardiology, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.

Abstract

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.

Keywords: Aortic valve replacement; Left ventricular outflow tract (LVOT); Pseudoaneurysm.

Publication types

Case Reports