title: A surgical case of left ventricular pseudoaneurysm complicating myocardial infarction in a diabetic patient on dialysis.
abstract: A 57-year-old man was hospitalized with dyspnea and heart failure. We performed an electrocardiogram, coronary angiogram, echocardiogram, and magnetic resonance imaging. He was diagnosed with a left ventricular pseudoaneurysm (i.e., heart tumor) at the posterolateral wall. Minimal contrast medium was utilized when making the diagnosis as the patient was on dialysis. We subsequently repaired the ventricular unruptured pseudoaneurysm and performed a coronary artery bypass grafting. This case presented difficulty in ascertaining the difference between a cardiac tumor and a ventricular pseudoaneurysm.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan.
authors.forename: Masataka
authors.initials: M
authors.lastname: Yoda
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Hata
authors.forename: Akira
authors.initials: A
authors.lastname: Sezai
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Niino
authors.forename: Satoshi
authors.initials: S
authors.lastname: Unosawa
authors.forename: Shinji
authors.initials: S
authors.lastname: Wakui
authors.forename: Tomohumi
authors.initials: T
authors.lastname: Umeda
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Furukawa
authors.forename: Kazuma
authors.initials: K
authors.lastname: Shimura
authors.forename: Kazutomo
authors.initials: K
authors.lastname: Minami
mesh_terms: D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass; D003925:Diabetic Angiopathies / Q000601:surgery*; D003928:Diabetic Nephropathies / Q000628:therapy; D006322:Heart Aneurysm / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D006435:Renal Dialysis