[A case of delayed ascending aortic pseudoaneurysm after traffic injury mimicking cardiac tumor].
A 44-year-old man was transferred to our hospital because of severe congestive heart failure complicated with acute renal failure and hepatic failure. He had been injured in a traffic accident three years before. Echocardiogram demonstrated a large tumor on the anterior wall of right ventricle obstructing RV outflow. Emergent operation was performed with cardiopulmonary bypass. Tumor was too large and invading into RV endocardium partially. RV patch enlargement was performed because it was impossible to resect tumor entirely. CVP was decreased dramatically to 8 cmH2O from 28 cmH2O. Postoperative hemodynamic was stable, but patient died of hepatic failure. Autopsy revealed that tumor was pseudoaneurysm from ascending aorta and ruptured into right ventricle.
Shinoka
T
T
Department of Cardiovascular Surgery, Ehime Prefectual Central Hospital, Japan.
Tomino
T
T
Satoh
H
H
Kuji
T
T
Sasahashi
N
N
Sueshiro
M
M
D000063:Accidents, Traffic; D000328:Adult; D001011:Aorta / Q000293:injuries*; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D006338:Heart Neoplasms / Q000175:diagnosis*; D006801:Humans; D008297:Male