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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1999 August;40(4):539-41

CARDIAC PAPERS 

    CASE REPORTS

Pos­te­rior-­septal ­pseudo-pseu­do­aneu­rysm with lim­ited ­left-to-­right ­shunt: an unex­pected ­easy ­repair

Alessandrini F., De Bonis M., Lapenna E., Morelli M., Possati G. F.

From the Depart­ment of Car­diac Sur­gery “ A. Gem­elli” Uni­ver­sity Hos­pital Cath­olic Uni­ver­sity, ­Rome, ­Italy

Car­diac rup­ture rep­re­sents a ­fatal com­pli­ca­tion of ­acute myo­car­dial infarc­tion ­within the ­first two ­weeks. In excep­tional ­cases, the post­in­farc­tion rup­ture of the myo­car­dium is not trans­mural but ­remains cir­cum­scribed ­within the ­wall ­itself as a ­cavity ­joined to the ­left ven­tricle ­through a ­narrow ­neck. ­This ­finding is usu­ally ­defined as ­pseudo-pseu­do­aneu­rysm. We ­report a ­rare ­case of post­in­farc­tion pos­te­rior ­pseudo-pseu­do­aneu­rysm of the ­left ven­tricle, per­fo­rated ­into the ­right ven­tricle. ­This ­unusual ­anatomy ­resulted, ­over a ­period of sev­eral ­years, by pro­gres­sive intra­mural dis­sec­tion of the sur­rounding ­necrotic myo­car­dium ­with ­late for­ma­tion of a ­large, par­tially ­fibrotic ­chamber, com­mu­ni­cating ­either ­with ­left and ­right ven­tri­cles. ­Despite cor­rect pre­op­er­a­tive diag­nosis was not ­achieved by 2D ech­o­car­di­og­raphy, ­pulsed Dop­pler and con­trast ven­tric­u­log­raphy, a suc­cessful sur­gical treat­ment was pos­sible ­with a ­really ­good out­come.

language: English


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