A 19-year-old woman with a history of dyspnea (New York Heart Association class III) and hypertension was admitted for surgical repair of aortic coarctation. Chest computed tomography showed tortuous and dilated internal mammary arteries (Figure 1), most pronounced on the left side, as a consequence of aortic coarctation discovered at an older age, and an ascending aortic aneurysm (Figure 2). Figure 2. Axial view of chest computed tomography scan showing an important ascending aortic aneurysm in the same patient.Figure 1. Chest computed tomography showing severe dilatation of the internal mammary arteries, tortuous and most pronounced on the left side.
Cardiac pseudoaneurysm is a contained rupture of the cardiac wall. Rarely symptomatic, the risk of death by stroke or rupture is high and suggests surgical treatment. Surgical strategy depends on its anatomical considerations. We reported the case of a submitral pseudoaneurysm. We excluded it by a conservative transmitral approach, without any short-and long-term complication.
Cardiac pseudoaneurysm is a contained rupture of the cardiac wall. Rarely symptomatic, the risk of death by stroke or rupture is high and suggests surgical treatment. Surgical strategy depends on its anatomical considerations. We reported the case of a submitral pseudoaneurysm. We excluded it by a conservative transmitral approach, without any short-and long-term complication.
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