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European Journal of Echocardiography Advance Access originally published online on August 23, 2008
European Journal of Echocardiography 2009 10(1):154-155; doi:10.1093/ejechocard/jen225
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Bilobar apical pseudoaneurysm after left ventricular venting in a Marfan's patient

J.H.P. Janssen1,*, T. Leiner2 and E.C. Cheriex3

1 Department of Cardiology, St Anna Hospital Geldrop, Bogardeind 2, 5664 EH Geldrop, The Netherlands
2 Department of Radiology, Academic Hospital Maastricht, POB 5800, 6202 AZ Maastricht, The Netherlands
3 Department of Cardiology, Academic Hospital Maastricht, POB 5800, 6202 AZ Maastricht, The Netherlands

Received 4 June 2008; accepted after revision 1 August 2008; online publish-ahead-of-print 23 August 2008.

* Corresponding author. Tel: + 31 402864040. E-mail address: jhpjanssen{at}hotmail.com


  Abstract

A Marfan patient presented with a bilobar apical pseudoaneurysm after repeated surgery. These abnormalities were demonstrated by three-dimensional-echo, Doppler, and CT-reconstruction. The pseudoaneurysm was related to an apical venting procedure. In this case, a conservative approach was chosen, although in general, pseudoaneurysms form an indication for operative correction, because of the risk of rupture and acute tamponade.

Keywords: Marfan; Pseudoaneurysm; Apical venting; 3D-echo; CT


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