Repair of calcified left ventricular pseudoaneurysm of long duration.
Cardiac pseudoaneurysm is a contained rupture of the myocardium limited by pericardial adhesions or the epicardial wall. Cardiac pseudoaneurysm may cause sudden death with a mortality of 30-45% in the first year, mostly resulting from rupture. Coronal and axial T2-weighted magnetic resonance images of a 65-year-old male patient admitted with dyspnoea, coughing and chest pain, present for the last 10 days, revealed a large pseudoaneursym of the left ventricle. Coronary bypass and left ventricular restoration operation was performed. The patient was eventlessly discharged 8 days after operation. He is in NYHA Class I 21 months postoperatively. The interval between myocardial insult and establishment of diagnosis is unknown in our patient. This is a patient whose left ventricular rupture had been contained for a very long time, possibly years, because a heavily calcified thick pseudoaneurysm wall was encountered during operation, making this case rare in the literature.
Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey.
Orhan Saim
OS
Demirtürk
Departrment of Radiology, Baskent University Adana Medical Center, Adana, Turkey.
Elif
E
Karadeli
Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey.
Utku
U
Alemdaroglu
Department of Cardiology, Baskent University Adana Medical Center, Adana, Turkey.
Mustafa
M
Yilmaz
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Myocardial infarction; Pseudoaneurysm; Ventricle rupture