[Posttraumatic true aneurysm of the left ventricle caused by a shotgun wound].
An asymptomatic aneurysm of the left ventricle was discovered incidentally in a policeman aged 25, who had a history of a severe thoracic injury from a shotgun wound at the age of 15. Electrocardiography showed a transmural antero-lateral infarct; this was later confirmed at ventriculography. Coronary arteriography showed a narrowed anterior descending artery which crossed over the surface of the aneurysm. The cardiac status remained unchanged over an 8 year follow up period. The pathogenesis is discussed: a fold of contused myocardium, or immediate or late traumatic obstruction of the anterior descending artery, or both factors at the same time?
D000293:Adolescent; D000328:Adult; D000790:Angiocardiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006335:Heart Injuries / Q000150:complications*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications*
Anévrysme vrai post-traumatique du ventricule gauche par charge de fusil de chasse.