Left ventricular pseudoaneurysm formation after mitral valve replacement, although infrequent, is a serious complication with potential catastrophic results. We describe a case of an anterobasal pseudoaneurysm compressing all branches of the left coronary artery, which was missed by initial transthoracic echocardiography and was well characterized with the transesophageal approach. Although the pseudoaneurysm was detected at contrast ventriculography, the transesophageal study provided new specific details regarding the exact site of origin of the pseudoaneurysm and its relationship to the coronary arteries that significantly influenced planning the surgical procedure and patient management.

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PubMedDate not supplied

Self-tapping screw fixation of the Austin osteotomy.

The authors present an alternative method of fixation for the Austin bunionectomy using the Richards self-tapping screw. A description of the screw and method of application is included. In more than 250 osteotomies fixated by this technique, no complications inherent to the self-tapping screw have been encountered.

Bone Screws↗