Pseudoaneurysm Formation After Myocarditis: A Rare Cause of a Systolic Murmur

2020 ◽  
Vol 36 (11) ◽  
pp. 1832.e9-1832.e10
Author(s):  
Ahmed T. Mokhtar ◽  
Daniel J. Belliveau ◽  
Alison Greene ◽  
Idris Ali
Keyword(s):  
Systolic Murmur ◽  
Pseudoaneurysm Formation

Congenital right coronary artery aneurysm causing myocardial infarction, pseudoaneurysm formation, and right atrial compression

2002 ◽  
Vol 15 (7) ◽  
pp. 736-738 ◽  
Author(s):  
Dawood Darbar ◽  
Philip J. Patel ◽  
Stephen M. Devine ◽  
Hartzell V. Schaff ◽  
Roger Click
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Right Atrial ◽  
Pseudoaneurysm Formation

“Real time” Angiographic Evidence of “Pseudoaneurysm” Formation After Aneurysm Rebleeding

2011 ◽  
Vol 14 (3) ◽  
pp. 459-462 ◽  
Author(s):  
Pietro I. D’Urso ◽  
Ioannis Loumiotis ◽  
Brian D. Milligan ◽  
Harry Cloft ◽  
Giuseppe Lanzino
Keyword(s):  
Real Time ◽  
Pseudoaneurysm Formation ◽  
Angiographic Evidence

scholarly journals Surgical Management of Ascending Aortic Aneurysm and Its Complications

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Sisira Sran ◽  
Manpreet Sran ◽  
Nicole Ferguson ◽  
Amgad N. Makaryus
Keyword(s):  
Open Surgery ◽  
Innominate Artery ◽  
Aortic Aneurysms ◽  
Dacron Graft ◽  
Ascending Aortic Aneurysm ◽  
Pseudoaneurysm Formation ◽  
Aortic Pathology ◽  
Surgical Options ◽  
The Right ◽  
Continuous Bleeding

Ascending aortic aneurysms involving the proximal aortic arch, arising anywhere from the aortic valve to the innominate artery, represent various problems in which open surgery is generally required. Surgical options include excision of the aortic pathology or wrapping the aneurysm shell with an aortic Dacron graft. Intervention using the latter method can lead to extravasation of blood along the suture lines resulting in continuous bleeding within the periprosthetic space. The Cabrol technique was developed as a method for decompression of postoperative leaks by the formation of a conduit system from the periprosthetic space to the right atrium. The coronary ostia are anastomosed to a second graft in an end-to-end fashion, which is then anastomosed to the ascending aortic conduit side to side. The native aorta is then sewn around the prosthesis, hereby creating a shunt to drain anastomotic leakage. This shunt reduces postsurgical risk of pseudoaneurysm formation and normally closes a few days following surgery. We discuss the case of a patient who underwent Cabrol’s variation and six months later was demonstrated to have a patent shunt.

scholarly journals Endonasal endoscopic pituitary surgery in the elderly

2018 ◽  
Vol 128 (2) ◽  
pp. 429-436 ◽  
Author(s):  
Peter J. Wilson ◽  
Sacit B. Omay ◽  
Ashutosh Kacker ◽  
Vijay K. Anand ◽  
Theodore H. Schwartz
Keyword(s):  
Elderly Patients ◽  
Complication Rate ◽  
Pituitary Adenomas ◽  
Statistical Tests ◽  
The Elderly ◽  
Medical Complications ◽  
Tumor Diameter ◽  
Complication Rates ◽  
Pseudoaneurysm Formation ◽  
Significant Difference

OBJECTIVEPituitary adenomas are benign, slow-growing tumors that cause symptoms either through mass effect or hormone overproduction. The decision to operate on a healthy young person is relatively straightforward. In the elderly population, however, the risks of complications may increase, rendering the decision more complex. Few studies have documented the risks of surgery using the endonasal endoscopic approach in a large number of elderly patients. The purpose of this study was to audit a single center's data regarding outcomes of purely endoscopic endonasal transsphenoidal resection of pituitary adenomas in elderly patients and to compare them to the current literature.METHODSA retrospective review of a prospectively acquired database of all endonasal endoscopic surgeries done by the senior authors was queried for patients aged 60–69 years and for those aged 70 years or older. Demographic and radiographic preoperative data were reviewed. Outcomes with respect to extent of resection and complications were examined and compared with appropriate statistical tests.RESULTSA total of 135 patents were identified (81 aged 60–69 years and 54 aged 70 years or older [70+]). The average tumor diameter was slightly larger for the patients in the 70+ age group (mean [SD] 25.7 ± 9.2 mm) than for patients aged 60–69 years (23.1 ± 9.8 mm, p = 0.056). There was no significant difference in intraoperative blood loss (p > 0.99), length of stay (p = 0.22), or duration of follow-up (p = 0.21) between the 2 groups. There was a 7.4% complication rate in patients aged 60–69 years (3 nasal and 3 medical complications) and an 18.5% complication rate in patients older than 70 years (4 cranial, 3 nasal, 1 visual, and 2 medical complications; p = 0.05 overall and 0.013 for cranial complications). Cranial complications in the 70+ age category included 2 postoperative hematomas, 1 pseudoaneurysm formation, and 1 case of symptomatic subdural hygromas.CONCLUSIONSEndonasal endoscopic surgery in elderly patients is safe, but there is a graded increase in complication rates with increasing age. The decision to operate on an asymptomatic or mildly symptomatic patient in these age groups should take this increasing complication rate into account. The use of a lumbar drain or lumbar punctures should be weighed against the risk of subdural hematoma in patients with preexisting atrophy.

The Syndrome Associated with Mid-systolic Click and/or Late Systolic Murmur

CHEST Journal ◽  
1971 ◽  
Vol 59 (6) ◽  
pp. 643-647 ◽  
Author(s):  
Robert M. Jeresaty
Keyword(s):  
Systolic Murmur

Early surgical repair of an acute post-infarction left ventricular pseudoaneurysm complicated by second pseudoaneurysm formation

2012 ◽  
Vol 67 (6) ◽  
pp. 723-726
Author(s):  
Michael Wolf ◽  
Paul Vermeersch ◽  
Bert Van Reet ◽  
Frank L. J. Van Den Branden
Keyword(s):  
Surgical Repair ◽  
Left Ventricular ◽  
Left Ventricular Pseudoaneurysm ◽  
Pseudoaneurysm Formation

An Unusual Case of a Giant Pseudoaneurysm Formation after Myocardial Infarction

2010 ◽  
Vol 27 (8) ◽  
pp. E83-E86 ◽  
Author(s):  
Necla Ozer ◽  
Hakan Aksoy ◽  
Tuncay Hazırolan ◽  
Erol Tulumen ◽  
Onur Sinan Deveci ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Unusual Case ◽  
Pseudoaneurysm Formation ◽  
Giant Pseudoaneurysm

scholarly journals PATIENT WITH A SYSTOLIC MURMUR AND SHOCK: IMPORTANCE OF THE PHYSICAL

2017 ◽  
Vol 69 (11) ◽  
pp. 2361
Author(s):  
Mahwash Kassi ◽  
Eleonora Avenatti ◽  
Stephen Little ◽  
Gerald Lawrie ◽  
William Zoghbi
Keyword(s):  
Systolic Murmur

The atypical systolic murmur of minute ventricular septal defect and its recognition by amyl nitrite and phenylephrine

1961 ◽  
Vol 62 (1) ◽  
pp. 101-118 ◽  
Author(s):  
L. Vogelpoel ◽  
V. Schrire ◽  
W. Beck ◽  
M. Nellen ◽  
A. Swanepoel
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Systolic Murmur ◽  
Amyl Nitrite
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