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J Thorac Cardiovasc Surg 2002;124:1242-1243
© 2002 The American Association for Thoracic Surgery

Brief Communications

Minimally invasive Port-Access repair of a left ventricular pseudoaneurysm

Jerome Sepic, MD, Sari F. Aranki, MD, Lawrence H. Cohn, MD Boston, Mass

From the Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.

Received for publication Feb 11, 2002. Accepted for publication April 1, 2002. Address for reprints: Lawrence H. Cohn, MD, Division of Cardiac Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 (E-mail: lcohn@partners.org).

The first 20% of the full text of this article appears below.

Despite being relatively rare, ventricular pseudoaneurysms might result from a number of different causes and present in numerous locations. Recent advances in minimally invasive cardiac surgery techniques include the use of minithoracotomy exposures and peripheral cannulation, providing closed-chest cardiac arrest (Port-Access; Heartport, Inc, Redwood City, Calif). We report a case in which minimally invasive Port-Access technology was used to perform a repair of a chronic left ventricular pseudoaneurysm caused by previous penetrating trauma.

Clinical summary

A 41-year-old man was referred to our institution for elective repair of a suspected left ventricular pseudoaneurysm. He had undergone an emergency left anterior thoracotomy at another hospital 23 years earlier after a stab wound to the chest. At that time, a 1-cm laceration in the anterolateral left ventricle was repaired with interrupted 2-0 silk sutures. His immediate postoperative course and 3-month follow-up were unremarkable.

More than 2 decades later, the patient was found to have a 5-cm round opacity at the . . . [Full Text of this Article]




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