Resection of a Left Ventricular Aneurysm Secondary to Cardiac Stab Wound

Lyons, Champ; Perkins, Rex

doi:10.1097/00000658-195802000-00017

Cited by 32 publications

(8 citation statements)

References 7 publications

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“…TRAUMATIC ANEURYSMS Traumatic aneurysm may be true or false (vide infra). Such aneurysms are very rare in either ventricle after accidental trauma, whether open or closed (Joachim and Mays, 1927;Lyons and Perkins, 1958;Kerr, Wilcken, and Steiner, 1961 ;Stansel et al, 1963;Panday, Parulkar, Kelkar, and Sen, 1965). Harken (1946) found no aneurysm among 56 patients with war wounds close to the heart, even though in 13 instances the missile was found within a cardiac chamber.…”

Section: Aneurysm Caused By Myocardial Infarction Duementioning

confidence: 99%

Cardiac ventricular aneurysm

Harley

1969

Thorax

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A case of successful excision of a ventricular aneurysm due to myocardial infarction is presented. The aetiology, incidence, pathogenesis, pathology, clinical features, and diagnosis of the condition are discussed. An account is given of the haemodynamic upset caused by aneurysms of the ventricle. The prognosis of untreated aneurysms is discussed. Although there is difference of opinion, it is concluded that a ventricular aneurysm adversely affects the prognosis after myocardial infarction. The indications for, and the mortality and results of, resection of ventricular aneurysms are discussed. The conclusion is drawn that persistent cardiac failure and angina can be relieved and the risk of systemic embolism reduced by the excision of expansile ventricular aneurysms of a fibrous nature. It is possible that excision may also reduce the incidence of subsequent acute myocardial infarction.

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Section: Aneurysm Caused By Myocardial Infarction Duementioning

confidence: 99%

Cardiac ventricular aneurysm

Harley

1969

Thorax

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“…Whereas many blunt cardiac injuries are treated successfully by surgery, reports on surgery for traumatic left ventricular aneurysms, apart from autopsy studies, are rare. 2,3 However, excellent results of surgical correction of traumatic left ventricular aneurysm have been described, [6][7][8]10 whereas lethal complications were mainly associated with lack of surgical treatment. 2,3 Traumatic left ventricular aneurysms seem to have the propensity to develop several days, months, or even years after trauma.…”

Section: Discussionmentioning

confidence: 99%

Impending Rupture of a Blunt Trauma-Induced Left Ventricular Aneurysm: Report of a Case

Asai

Kurimoto

2007

Surg Today

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Most left ventricular true aneurysms that occur secondary to blunt trauma gradually become symptomatic as they enlarge, which validates conservative management as a reasonable initial course of action. We report a case of impending rupture of a left ventricular true aneurysm that showed rapid expansion within a few weeks. A 17-year-old youth was involved in a head-on collision into a car while riding a motorcycle. He underwent repair of a ruptured jejunum and internal fixation of a fractured femur; 28 days after the accident, he was transferred to another hospital for rehabilitation. His chest X-ray just before the transfer was normal. He was re-admitted to our hospital 58 days after the accident complaining of anterior chest pain and dyspnea. Echocardiography showed impending rupture of a left ventricular aneurysm. We performed emergency open repair of a left ventricular true aneurysm with a very thin wall. We report this case to show that even a true aneurysm of the left ventricle should be carefully monitored from the early stage, considering the possibility of rupture.

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“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Pertinent clinical data regarding each of these cases and the three cases included in the present report are tabulated in table 1. In 13 cases the trauma was nonpenetrating (blunt), and in the remaining six a stab wound was the etiological agent.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Aneurysm of the Left Ventricle

1969

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Three cases of left ventricular aneurysm secondary to external violence are reported. Each patient presented with a pseudoaneurysm of the left ventricle, following penetrating trauma in two instances and blunt trauma in the third instance. The interval between injury and diagnosis ranged from 5 months to 24 years. Two patients underwent successful resection of the aneurysm. Repair was not attempted in the third patient. Only 16 cases of post-traumatic left ventricular aneurysm have previously been reported. In 13 of the 19 cases available for review, the trauma was blunt and in six penetrating. The aneurysm could be determined to be a true aneurysm in five instances and a false aneurysm in eight instances. Complications (rupture, cardiac failure, embolism, and arrhythmia) proved fatal in eight cases. Each of the eight patients subjected to aneurysmectomy survived.

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Resection of a Left Ventricular Aneurysm Secondary to Cardiac Stab Wound

Cited by 32 publications

References 7 publications

Cardiac ventricular aneurysm

Cardiac ventricular aneurysm

Impending Rupture of a Blunt Trauma-Induced Left Ventricular Aneurysm: Report of a Case

Post-Traumatic Aneurysm of the Left Ventricle

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