title: Posttraumatic left ventricular pseudoaneurysm due to intramyocardial dissecting hematoma.
abstract: A left ventricular aneurysm can develop in patients sustaining blunt chest injury. This condition has been attributed to myocardial contusion or to a direct vascular lesion leading to myocardial necrosis. We report the case of a pseudoaneurysm resulting from myocardial dissection beginning from a small tear in the endocardial wall. Successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure of the communications between the aneurysm and the left ventricular cavity is described.
authors.affiliation: Department of Cardiac Surgery, Ospedale Maggiore della Carità, Novara, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Maselli
authors.forename: E
authors.initials: E
authors.lastname: Micalizzi
authors.forename: R
authors.initials: R
authors.lastname: Pizio
authors.forename: A
authors.initials: A
authors.lastname: Audo
authors.forename: C
authors.initials: C
authors.lastname: De Gasperis
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery; D003288:Contusions / Q000150:complications; D003331:Coronary Vessels / Q000293:injuries; D004699:Endocardium / Q000293:injuries / Q000601:surgery; D006322:Heart Aneurysm / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000150:complications*; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*