Aneurysm formation of pericardial patch in Manouguian procedure

Publication date: Available online 3 July 2018Source: Journal of the Saudi Heart AssociationAuthor(s): Hamidreza Pouraliakbar, Maryam Pourmojib, Yousef Rezaei, Saeid HosseiniAbstractPericardial patch has been used to repair cardiac defects; however, its strength as an aortoplasty patch to tolerate systemic pressure is a matter of debate. Herein, we report an aneurysmal dilatation of pericardial patch in aortoplasty. Our patient was a 56-year-old female known case of rheumatic heart disease that underwent redoes mitral and aortic valve replacements along with Manouguian aortoplasty at the age of 44 years old. After 2 months, she was readmitted with a diagnosis of endocarditis. Echocardiography revealed a small cavity in the posterior wall of the aorta. She responded to medical therapy and discharged in a good condition. Twelve years later, she was scheduled to undergo reoperation due to a severe paraprosthetic aortic valve leakage and a pericardial patch aneurysm. The leaking prosthetic aortic valve was explanted and the aneurysmal tissue was replaced with a polyethylene terephthalate patch.
Source: Journal of the Saudi Heart Association - Category: Cardiology Source Type: research