Giant left ventricular pseudoaneurysm concomitant with severe mitral regurgitation: Multimodality imaging and successful surgical repair

Abstract

A 58-year old man with previous myocardial infarction was shown to have a huge pseudoaneurysm (8 × 6 cm) on the left ventricular posterior wall concomitant with severe mitral regurgitation. The left ventricle was reconstructed with resection of the pseudoaneurysm sac and repaired with a Dacron graft (Dor procedure) along with mitral ring annuloplasty (Fig. 1E). Postoperatively, left ventricle was normal in size (5.5 × 3.8 cm) without residual mitral regurgitation.