Left ventricle perforation and pseudoaneurysm with an unusual presentation of a patient with stomach ache. Case report.
A 49-year-old man admitted with a 3 weeks history of stomachache and without any cardiac symptoms and diagnosed as pseudoaneurysm of the left ventricle is reported. The repair was performed with the aid of cardiopulmonary bypass, defect was repaired with Gore-tex patch and myocardial tissues were approximated and closed by using two Teflon stripes. BioGlue was applied on the sutures and between the stripes. We report this unusual case because rarity and high clinical index of suspicion is needed to make correct diagnosis in such patients. Although there is a significantly high mortality of the pseudoaneurysm cases their repair can and should be performed as an urgent procedure.
Sirin
Bekir Hayrettin
BH
Department of Cardiovascular Surgery, Celal Bayar University, School of Medicine, Manisa, Turkey.
Iskesen
Ihsan
I
Kurdal
Adnan Taner
AT
D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006322:Heart Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D013270:Stomach; D018658:Ventricular Septal Rupture / Q000150:complications / Q000175:diagnosis* / Q000601:surgery