Repair of a ruptured posterior left ventricular pseudoaneurysm.
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.
Kaya
B
B
Department of Cardiovascular Surgery, Cag Hastanesi, Ankara, Turkey.
Uçanok
K
K
Tasöz
R
R
Ozisik
K
K
Peker
O
O
Tatlican
O
O
Gelisen
I
I
D017541:Aneurysm, False / Q000150:complications / Q000601:surgery*; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged