[Surgical treatment of left ventricular pseudoaneurysm after acute myocardial infarction in subacute phase; report of a case].
A 81-year-old man who was complaining of chest pain was admitted. He was diagnosed as acute myocardial infarction. Coronary angiogram was performed and an occlusion of the circumflex coronary artery (#13) was diagnosed. Percutaneous coronary intervention (PCI) was done successfully. Cardiac tamponade was showed on the 3rd day after PCI. Percutaneous pericardial drainage was done and his hemodynamic was improved. Transthoracic echocardiogram showed left ventricular pseudoaneurysm with 2 cm in diameter and expanding to 5 cm in diameter after 3 weeks. Patch closure was carried out under cardiopulmonary bypass on subacute phase. His postoperative recovery was uneventful. Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction (AMI) and surgical treatment of this disease was discussed.
Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Tochigi, Japan.
T
T
Kuwata
M
M
Yoshitatsu
Y
Y
Yamada
I
I
Shibasaki
Y
Y
Inoue
H
H
Ogawa
G
G
Tsuchiya
H
H
Fukuda
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D006322:Heart Aneurysm / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*