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 language | English |
|---|---|
| Pages (from-to) | 539-541 |
| Number of pages | 3 |
| Journal | Journal of Cardiovascular Surgery |
| Volume | 40 |
| Issue number | 4 |
| Publication status | Published - Aug 1999 |
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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
Cite this
Posterior-septal pseudo-pseudoaneurysm with limited left-to-right shunt : An unexpected easy repair. / Alessandrini, F.; De Bonis, M.; Lapenna, E.; Morelli, M.; Possati, G. F.
In: Journal of Cardiovascular Surgery, Vol. 40, No. 4, 08.1999, p. 539-541.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Posterior-septal pseudo-pseudoaneurysm with limited left-to-right shunt
T2 - An unexpected easy repair
AU - Alessandrini, F.
AU - De Bonis, M.
AU - Lapenna, E.
AU - Morelli, M.
AU - Possati, G. F.
PY - 1999/8
Y1 - 1999/8
N2 - 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.
AB - 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.
KW - False aneurysm
KW - Heart rupture, postinfarction surgery
KW - Heart ventricle pathology
KW - Myocardial infarction complications
KW - Ventricular septal rupture surgery
UR - http://www.scopus.com/inward/record.url?scp=0032826936&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032826936&partnerID=8YFLogxK
M3 - Article
VL - 40
SP - 539
EP - 541
JO - Journal of Cardiovascular Surgery
JF - Journal of Cardiovascular Surgery
SN - 0021-9509
IS - 4
ER -