title: Tamponade by an expanding left ventricular pseudoaneurysm: A unique presentation.
abstract: Left ventricular free wall rupture secondary to myocardial infarction is an uncommon but catastrophic event requiring emergency surgery. We describe a unique presentation of left ventricular free wall rupture as delayed tamponade caused by a gradually expanding pseudoaneurysm compressing the left atrium, leading to pulmonary congestion that required increasing respiratory support to maintain oxygenation, and necessitated emergency surgery. We discuss the options available to treat pseudoaneurysms due to left ventricular free wall rupture.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK b.mahesh@nhs.net.
authors.forename: Balakrishnan
authors.initials: B
authors.lastname: Mahesh
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.
authors.forename: Ping
authors.initials: P
authors.lastname: Ong
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Kutty
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.
authors.forename: Yasir
authors.initials: Y
authors.lastname: Abu-Omar
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D004630:Emergencies; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome
keywords: Pseudo-aneurysm; cardiac tamponade; left ventricular; myocardial infarction; rupture