Document Detail


Left ventricular pseudoaneurysm in a patient with Dressler's syndrome after myocardial infarction.
MedLine Citation:
PMID:  9764072     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Successful recanalisation of the left anterior descending coronary artery was performed in a 51 year old man who was admitted two weeks after acute anterior myocardial infarction. Fourteen days later, the patient developed Dressler's syndrome with cardiac tamponade, which was immediately punctured. Sternotomy was performed after two weeks because of progressive haemodynamic deterioration, and fibrinous masses were removed from the pericardium. The patient recovered but two weeks later echocardiography showed a perforation of the left ventricular free wall and formation of a pseudoaneurysm. Intensive monitoring showed significant enlargement of the pseudoaneurysm, which was subsequently resected. This case demonstrates that dangerous formation of a pseudoaneurysm can occur not only during the first days of acute myocardial infarction but also after weeks in patients suffering from non-infectious pericarditis caused by Dressler's syndrome. Although the incidence of Dressler's syndrome is declining, patients should be monitored carefully for several weeks, especially by echocardiography.
Authors:
H Reinecke; T Wichter; M Weyand
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  80     ISSN:  1355-6037     ISO Abbreviation:  Heart     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-10-14     Completed Date:  1998-10-14     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  98-100     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology and Angiology, Hospital of the Westfälische, Wilhelms-University, Münster, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology*,  surgery,  ultrasonography
Echocardiography
Heart Aneurysm / etiology*,  surgery,  ultrasonography
Humans
Male
Middle Aged
Myocardial Infarction / complications*,  surgery,  ultrasonography
Pericarditis / etiology*,  surgery,  ultrasonography
Syndrome
Time Factors

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