Document Detail

Posterior-septal pseudo-pseudoaneurysm with limited left-to-right shunt: an unexpected easy repair.
MedLine Citation:
PMID:  10532213     Owner:  NLM     Status:  MEDLINE    
Cardiac rupture represents a fatal complication of acute myocardial infarction within the first two weeks. In exceptional cases, the postinfarction rupture of the myocardium is not transmural but remains circumscribed within the wall itself as a cavity joined to the left ventricle through a narrow neck. This finding is usually defined as pseudo-pseudoaneurysm. We report a rare case of postinfarction posterior pseudo-pseudoaneurysm of the left ventricle, perforated into the right ventricle. This unusual anatomy resulted, over a period of several years, by progressive intramural dissection of the surrounding necrotic myocardium with late formation of a large, partially fibrotic chamber, communicating either with left and right ventricles. Despite correct preoperative diagnosis was not achieved by 2D echocardiography, pulsed Doppler and contrast ventriculography, a successful surgical treatment was possible with a really good outcome.
F Alessandrini; M De Bonis; E Lapenna; M Morelli; G F Possati
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  40     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-28     Completed Date:  1999-10-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  539-41     Citation Subset:  IM    
Department of Cardiac Surgery, A. Gemelli University Hospital, Catholic University, Rome, Italy.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  surgery*
Aneurysm, False / diagnosis,  surgery*
Diagnostic Imaging
Heart Aneurysm / diagnosis,  surgery*
Heart Rupture, Post-Infarction / diagnosis,  surgery*
Heart Septum / pathology,  surgery
Heart Ventricles / pathology,  surgery
Sensitivity and Specificity

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