Posterior-septal pseudo-pseudoaneurysm with limited left-to-right shunt: An unexpected easy repair

F. Alessandrini, M. De Bonis, E. Lapenna, M. Morelli, G. F. Possati

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)539-541
Number of pages3
JournalJournal of Cardiovascular Surgery
Volume40
Issue number4
Publication statusPublished - Aug 1999

Keywords

  • False aneurysm
  • Heart rupture, postinfarction surgery
  • Heart ventricle pathology
  • Myocardial infarction complications
  • Ventricular septal rupture surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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