title: Early surgical repair of an acute post-infarction left ventricular pseudoaneurysm complicated by second pseudoaneurysm formation.
abstract: We present a case of an acute myocardial infarction complicated by an acute left ventricular pseudoaneurysm (LVPA). Surgical correction in the subacute phase was complicated by development of a second larger LVPA due to tearing of the sutures of the first surgical repair. Our case demonstrates the difficult decision-making regarding the timing of surgical intervention, which remains a debatable issue. The literature on diagnostics, prognosis and treatment of the LVPA is also discussed.
authors: Department of Cardiology, Antwerp Cardiovascular Institute Middelheim, Antwerp, Belgium. michael.wolf@telenet.be
authors: Michael
authors: M
authors: Wolf
authors: Paul
authors: P
authors: Vermeersch
authors: Bert
authors: B
authors: Van Reet
authors: Frank L J
authors: FL
authors: Van den Branden
mesh_terms: D000208:Acute Disease; D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D013997:Time Factors; D014057:Tomography, X-Ray Computed