Document Detail


Chronic false aneurysms of the left ventricle: management revisited.
MedLine Citation:
PMID:  7954029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
False aneurysms of the left ventricle are a rare complication of myocardial infarction. They pose a high risk of cardiac rupture and death in the immediate stages following infarction. The long term fate of these aneurysms is less clear. Based on early reports, the current practice is to resect all false aneurysms regardless of their age. Three patients were found to have false aneurysms several years (seven to 12) following their index infarction. Two of the patients were asymptomatic at presentation and their aneurysms were discovered by echocardiography. All three patients underwent successful surgical repair. The literature on false aneurysms is reviewed and analyzed. With the wide availability of high quality noninvasive imaging there has been an increase in the reporting of unsuspected false aneurysms in the past decade. The need for prophylactic aneurysectomy of stable asymptomatic chronic false ventricular aneurysms is not well supported by available data in the literature. A strategy of conservative management with noninvasive follow-up may be a more appropriate alternative.
Authors:
M K Natarajan; T A Salerno; B Burke; B Chiu; P W Armstrong
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  10     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1994-12-22     Completed Date:  1994-12-22     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  927-31     Citation Subset:  IM    
Affiliation:
St Michael's Hospital, University of Toronto, Ontario.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Echocardiography
Heart Aneurysm / etiology,  surgery*,  ultrasonography
Heart Ventricles / surgery
Humans
Male
Middle Aged
Myocardial Infarction / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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