clinical image Pseudoaneurysm of the Left Ventricle
Véronique
Firich*, Philipp Angleitner, Günther Laufer, Dominik Wiedemann*
Department of Cardiac Surgery, Vienna General
Hospital, Vienna, Austria
*Corresponding
authors: Véronique Firich, Department of Cardiac Surgery, Vienna General Hospital,
Währinger Gürtel 18-20, 1090 Vienna, Austria. Tel: +434040052620; Email: veronique.firich@icloud.com
Dominik Wiedemann, Department
of Cardiac Surgery, Vienna General Hospital, Währinger Gürtel 18-20, 1090 Vienna, Austria. Email: dominik.wiedemann@meduniwien.ac.at
Received Date: 05 September, 2018; Accepted
Date: 17 September, 2018; Published Date: 25 September, 2018
Citation: Firich V, Angleitner P, Laufer G, Wiedemann D (2018) Pseudoaneurysm of the Left Ventricle. Emerg Med Inves: 184. DOI: 10.29011/2475-5605.000084
1. Keywords: Myocardial Infarction; Ventricular Aneurysm; Ventricular Rupture
2. Description
A
68-year-old female presented with a giant pseudoaneurysm (6x4 cm) of the
lateral wall. The patient complained about severe dyspnea, because of that a CT
was performed (Figure 1A). She
experienced a myocardial infarction two years ago, which was treated by PCI at
the time. We suspect that an occult ventricular rupture emerged as a
complication from the infarction, which lead to this big pseudoaneurysm. A
modified Dor plasty was performed, including resection of the aneurysm and
defect closure with a Vakutek-patch (Figures
1B,C). The postoperative course was without any
adverse events. One day after the surgery the patient was extubated. The day
after that she was transferred from the ICU to the standard ward. The patient
was discharged without any symptoms ten days after the operation.
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