Limits...
Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature.

Zoffoli G, Mangino D, Venturini A, Terrini A, Asta A, Zanchettin C, Polesel E - J Cardiothorac Surg (2009)

Bottom Line: This clinical finding calls for emergency surgery.Differentiation between these two pathologies remains difficult.We report the case of a patient with a true aneurysm, initially diagnosed as pseudo-aneurysm at our institution; we have reviewed the literature on this difficult diagnosis and outlined characteristic findings of each clinical entity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Ospedale dell'Angelo, Via Paccagnella 11, 30174, Venice, Mestre, Italy. giampaolozoffoli@yahoo.it

ABSTRACT
Rupture of the free wall of the left ventricle (LV) is a catastrophic complication occurring in 4% of patients after myocardial infarction (MI) and in 23% of those who die of MI. Rarely the rupture is contained by an adherent pericardium creating a pseudo-aneurysm. This clinical finding calls for emergency surgery. If no ruptures are detectable and myocardium wall integrity is confirmed, we are in the presence of a true aneurysm, which can be treated by means of elective surgery. Differentiation between these two pathologies remains difficult. We report the case of a patient with a true aneurysm, initially diagnosed as pseudo-aneurysm at our institution; we have reviewed the literature on this difficult diagnosis and outlined characteristic findings of each clinical entity.

Show MeSH

Related in: MedlinePlus

The thrombus. The thrombus inside was about 6 cm × 4.5 cm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2654444&req=5

Figure 4: The thrombus. The thrombus inside was about 6 cm × 4.5 cm.

Mentions: At the time of surgery a large true aneurysm of the posterior wall of the left ventricle was found (Fig. 2, 3). The aneurysm consisted of a very thin myocardium layer; inside there was a thrombus about 6 cm × 4.5 cm. (Fig. 4)


Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature.

Zoffoli G, Mangino D, Venturini A, Terrini A, Asta A, Zanchettin C, Polesel E - J Cardiothorac Surg (2009)

The thrombus. The thrombus inside was about 6 cm × 4.5 cm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2654444&req=5

Figure 4: The thrombus. The thrombus inside was about 6 cm × 4.5 cm.
Mentions: At the time of surgery a large true aneurysm of the posterior wall of the left ventricle was found (Fig. 2, 3). The aneurysm consisted of a very thin myocardium layer; inside there was a thrombus about 6 cm × 4.5 cm. (Fig. 4)

Bottom Line: This clinical finding calls for emergency surgery.Differentiation between these two pathologies remains difficult.We report the case of a patient with a true aneurysm, initially diagnosed as pseudo-aneurysm at our institution; we have reviewed the literature on this difficult diagnosis and outlined characteristic findings of each clinical entity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Ospedale dell'Angelo, Via Paccagnella 11, 30174, Venice, Mestre, Italy. giampaolozoffoli@yahoo.it

ABSTRACT
Rupture of the free wall of the left ventricle (LV) is a catastrophic complication occurring in 4% of patients after myocardial infarction (MI) and in 23% of those who die of MI. Rarely the rupture is contained by an adherent pericardium creating a pseudo-aneurysm. This clinical finding calls for emergency surgery. If no ruptures are detectable and myocardium wall integrity is confirmed, we are in the presence of a true aneurysm, which can be treated by means of elective surgery. Differentiation between these two pathologies remains difficult. We report the case of a patient with a true aneurysm, initially diagnosed as pseudo-aneurysm at our institution; we have reviewed the literature on this difficult diagnosis and outlined characteristic findings of each clinical entity.

Show MeSH
Related in: MedlinePlus