Right ventricular pseudoaneurysm following repair of tetralogy of Fallot

Wheller, John J.; Teske, Douglas W.; Craenen, Josepha; Allen, Hugh D.

doi:10.1016/s0002-8703(05)80258-3

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Although the presence of aneurysms in the RVOT after TOF repair has long been recognized based on x-ray ventriculography, echocardiography, CMR, and computed tomography, little has been known about the hemodynamic effects of these aneurysms on global RV function despite widespread clinical suspicion of an adverse influence 18, 19. Indeed, much of the research on this issue has concentrated on the association between RVOT aneurysms and ventricular tachyarrhythmias 20 21.…”

Section: Discussionmentioning

confidence: 99%

Effects of Regional Dysfunction and Late Gadolinium Enhancement on Global Right Ventricular Function and Exercise Capacity in Patients With Repaired Tetralogy of Fallot

et al. 2009

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Background-The underlying mechanisms that contribute to global right ventricular (RV) dysfunction in patients with repaired tetralogy of Fallot are incompletely understood. We therefore sought to quantify regional RV abnormalities and to determine the relationship of these to global RV function and exercise capacity. Methods and Results-Clinical and cardiac magnetic resonance data from 62 consecutive patients with repaired tetralogy of Fallot were analyzed (median age at follow-up 23 years [limits 9 to 67 years]). Using cardiac magnetic resonance data, 3D RV endocardial surface models were reconstructed from segmented contours, and a correspondence between end diastole and end systole was computed with a novel algorithm. Regional RV abnormalities were quantified and expressed as segmental ejection fraction, spatial extent of dyskinetic area, displacement of dyskinetic area, and score of extent of late gadolinium enhancement. Regional abnormalities of function and hyperenhancement were greatest in the RV outflow tract (RVOT).

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Section: Discussionmentioning

confidence: 99%

Effects of Regional Dysfunction and Late Gadolinium Enhancement on Global Right Ventricular Function and Exercise Capacity in Patients With Repaired Tetralogy of Fallot

et al. 2009

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“…Pseudoaneurysm has been described, though this rarely involves the right ventricle 7 . Pericardial hematoma as a long‐term complication has also been reported but is extremely rare and more likely to occur in connection with a sternal fracture 8 .…”

Section: Discussionmentioning

confidence: 99%

“…6 Pseudoaneurysm has been described, though this rarely involves the right ventricle. 7 Pericardial hematoma as a long-term complication has also been reported but is extremely rare and more likely to occur in connection with a sternal fracture. 8 Other, still rare, diagnoses need to be considered: such as forgotten surgical instruments left in situ or a foreign-body granuloma around ventriculotomy suture threads.…”

Section: Discussionmentioning

confidence: 99%

Precordial Abscess Inducing Chest Pain 20 Years After Surgical Repair of a Pentalogy of Fallot

Aschwanden¹,

Bodenmann²,

Schlueter³

et al. 2004

Echocardiography

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A 25-year-old male asylum-seeker presented with chest pain, exertional dyspnea, and orthopnea 20 years after the surgical repair of a pentalogy of Fallot. An extracardiac mass compressing the right ventricle was subsequently detected and surgical decompression was performed to relieve the resulting right intraventricular hypertension. At operation, the mass proved to be a coagulase-negative, staphylococcal abscess. In addition, the removal of the mass unmasked a previously nonrecognized pulmonary outflow stenosis that required balloon dilatation and beta-blocker therapy. While infections are known to occur after sternotomy, the formation of an abscess in the anterior mediastinum several years after the intervention appears to be exceptional; this diagnosis came to mind only after the more common complications had been considered, e.g., pseudoaneurysm or pericardial hematoma. To our knowledge, this is the first report of an abscess in the anterior mediastinum that had probably formed over many years following a sternotomy, compressed the right ventricle and masked a pulmonary stenosis.

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“…Unlike the left ventricular pseudoaneurysms that mostly develop after transmural myocardial infarction rarely followed by cardiac surgery, trauma, and infection, RVOT pseudoaneurysm is an extremely rare complication of cardiac surgical sequelae or endocarditis in published literatures [1][2][3]. Until now, post-traumatic RVOT pseudoaneurysm associated with penetrating ventricular septal fistula has not been documented.…”

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confidence: 99%

Chronic giant post-traumatic pseudoaneurysm of the right ventricular outflow tract associated with penetrating ventricular septal fistula

Zhang

Guo

2015

International Journal of Cardiology

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Right ventricular pseudoaneurysm following repair of tetralogy of Fallot

Cited by 5 publications

References 5 publications

Effects of Regional Dysfunction and Late Gadolinium Enhancement on Global Right Ventricular Function and Exercise Capacity in Patients With Repaired Tetralogy of Fallot

Effects of Regional Dysfunction and Late Gadolinium Enhancement on Global Right Ventricular Function and Exercise Capacity in Patients With Repaired Tetralogy of Fallot

Precordial Abscess Inducing Chest Pain 20 Years After Surgical Repair of a Pentalogy of Fallot

Chronic giant post-traumatic pseudoaneurysm of the right ventricular outflow tract associated with penetrating ventricular septal fistula

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