Document Detail

Postinfarction septal dissection and rupture evolved as an inferobasal pseudoaneurysm: a specific anatomical pattern.
MedLine Citation:
PMID:  19770775     Owner:  NLM     Status:  MEDLINE    
In rare cases of posterior myocardial infarction, septal rupture is the consequence of a dissecting interventricular hematoma that evolves as a fibrotic septal chamber with two separate communications, towards left and right ventricle. This unusual anatomical pattern is generally unsuspected and described as a normal interventricular defect associated with a basal left ventricular aneurysm or pseudoaneurysm. We present a case where echocardiography and ventricular angiography did not detect this situation. As surgical implications are important, this peculiar anatomical pattern should be suspected especially in patients with asymptomatic postinfarction posterior septal rupture or in those with minimal clinical impairment.
Isidoro Di Bella; Uberto Da Col; Enrico Ramoni; Alessandro Affronti; Alessia Rossi; Temistocle Ragni
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-06-30     Completed Date:  2010-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  622-4     Citation Subset:  IM    
Department of Cardiac Surgery, S. Maria della Misericordia Hospital, Perugia, Italy.
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MeSH Terms
Aneurysm, False / diagnosis*,  surgery
Aneurysm, Ruptured / diagnosis*,  surgery
Cardiac Surgical Procedures
Echocardiography, Doppler, Color
Heart Aneurysm / diagnosis*,  surgery
Suture Techniques
Treatment Outcome
Ventricular Septal Rupture / diagnosis*,  surgery

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