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Chirurgia 2008 August;21(4):199-201

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Successful repair of spontaneous myocardial rupture and massive false aneurysm

Ramoutar D., Drain A. J., Hosseinpour A. R., Jenkins D. P.

Department of Cardiothoracic Surgery Papworth Hospital, Cambridge, CB23 3RE, UK


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Left ventricular pseudoaneurysm (LVPA) is a rare but serious complication of acute myocardial infarction, usually as a result of ventricular wall rupture that has been contained by overlying adherent pericardium. Presentation is often insidious, may be months to years after the initial event, and urgent surgical intervention is often considered as it poses a high risk of secondary rupture. We report a case of left ventricular free wall rupture (LVFWR) presenting as a large left ventricular pseudoaneurysm in a patient who presented with refractory heart failure in the setting of normal coronary arteries and no previous hospital admission.

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