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A Journal on Heart and Vascular Diseases
Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752
Minerva Cardioangiologica 2002 August;50(4):389-92
Repair of a ruptured posterior left ventricular pseudoaneurysm
Kaya B., Uçanok K., Tasöz R., Özisik K., Peker O., Tatlican O., Gelisen I.
A 51 year old man with a large ruptured posterior left ventricular (LV) pseudoaneurysm (PsAn) was successfully surgically treated. Complete repair was performed by excision of the PsAn, leaving a cuff of fibrous tissue suitable to hold sutures and a Dacron patch reconstruction of the LV. On the 7th postoperative day, echocardiographic examination confirmed pericardial effusion (swinging heart). Media-stinal drainage tube was performed and the patient was discharged with a good recovery. The patient's preoperative LV ejection fraction (EF) increased from 42.7 to 52% after operation. We consider endoventricular circular patch plasty of ruptured posterior LV PsAn excellent because of the avoidance of thrombus and the effectiveness for improvement of LV function.