title: Giant post-infarction pseudoaneurysm of the left ventricle manifesting as severe heart failure.
abstract: A 57 year-old female was admitted for chronic heart failure (HF) with NYHA class IV symptoms. Transthoracic echocardiography revealed ruptured left ventricular (LV) lateral and posterior wall between their basal and middle segments resulting in giant, round pseudoaneurysm formation with a diameter of 12 cm. Bidirectional flow through a 2.9 cm orifice between the LV and the pseudoaneurysm cavity was shown. A 12-cm diameter pseudoaneurysm was resected and the orifice was closed with a Dacron patch. Twelve months after the diagnosis, the patient is in a stable condition with NYHA class II HF symptoms.
authors.affiliation: Clinic of Cardiology, University Hospital No. 2, Collegium Medicum of the Nicolaus Copernicus University in Bydgoszcz, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Blażejewski
authors.forename: Władysław
authors.initials: W
authors.lastname: Sinkiewicz
authors.forename: Robert
authors.initials: R
authors.lastname: Bujak
authors.forename: Joanna
authors.initials: J
authors.lastname: Banach
authors.forename: Danuta
authors.initials: D
authors.lastname: Karasek
authors.forename: Wojciech
authors.initials: W
authors.lastname: Balak
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging* / Q000601:surgery