title: Extensive Chest Wall Destruction Secondary to a Large Ventricle Pseudoaneurysm: A Surgical Challenge.
abstract: Left ventricular pseudoaneurysms have become a rare complication of acute myocardial infarction, occurring in approximately 2% of cases and even less frequently when primary percutaneous intervention can be performed. Regardless of treatment strategy, left ventricle pseudoaneurysms are associated with a high mortality rate. We report on the extremely rare occurrence of a patient surviving two episodes of free wall rupture associated with extensive chest wall destruction and secondary traumatic rib fractures. The key to success in this case is related to both the cardiac and chest wall repair.
authors.affiliation: Cardiology Department, La Paz University Hospital, Madrid, Spain. Electronic address: firazusta88@gmail.com.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Irazusta
authors.affiliation: Cardiac Surgery Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Ulises
authors.initials: U
authors.lastname: Ramirez
authors.affiliation: Cardiology Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Caro-Codon
authors.affiliation: Cardiology Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Refoyo
authors.affiliation: Radiology Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Diego
authors.initials: D
authors.lastname: Garrido
authors.affiliation: Radiology Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Pinilla
authors.affiliation: Cardiac Surgery Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Mesa
authors.affiliation: Cardiology Department, La Paz University Hospital, Madrid, Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Lopez-Sendon
mesh_terms: D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000150:complications; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D035441:Thoracic Wall / Q000601:surgery*; D014057:Tomography, X-Ray Computed