title: Presternal false aneurysm due to osseous arrosion of the right ventricle.
abstract: Right ventricular rupture after open heart surgery is a rare but severe postoperative complication. In most cases, right ventricular bleeding is associated with mediastinitis and either directly caused by inflammatory processes or iatrogenically through penetration of dehiscent sternal edges or vacuum-assisted closure therapy. We describe a case of right ventricular rupture due to osseous arrosion in a closed chest in the absence of mediastinitis which led to the creation of a massive presternal false aneurysm.
authors.affiliation: Department of Cardiothoracic Surgery, Heart and Vessel Center Bad Bevensen, Bad Bevensen, Germany. deschkaheinz@hotmail.com
authors.forename: Heinz
authors.initials: H
authors.lastname: Deschka
authors.forename: Matthias
authors.initials: M
authors.lastname: Machner
authors.forename: Gerhard
authors.initials: G
authors.lastname: Wimmer-Greinecker
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003324:Coronary Artery Disease / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D012086:Reoperation / Q000379:methods; D056346:Sternotomy / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed