Surgical Treatment of Left Ventricular Pseudoaneurysm

Mujanovic, Emir; Bergsland, Jacob; Avdic, Sevleta; Stanimirovic-Mujanovic, Sanja; Kovačevic-Preradović, Tamara; Kabil, Emir

doi:10.5455/medarh.2014.68.215-217

Cited by 28 publications

(35 citation statements)

References 16 publications

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“…Pseudoaneurysms rarely arise from the anterior wall. This is because ruptures of the anterior wall are not well tolerated and generally lead to hemopericardium or tamponade [8]. Moreover, they are seldom compressed by adherent pericardium and hence are fatal before diagnosis can be established [4].…”

Section: Discussionmentioning

confidence: 99%

“…Fatal rupture, hemopericardium, and tamponade are some of the grave complications of a LVPA. If left untreated, pseudoaneurysms have a 30-45% risk of rupture [8]. Since LVPA was first identified, urgent surgery has remained the mainstay of treatment [3,5,8].…”

Section: Discussionmentioning

confidence: 99%

“…If left untreated, pseudoaneurysms have a 30-45% risk of rupture [8]. Since LVPA was first identified, urgent surgery has remained the mainstay of treatment [3,5,8]. Resection usually with bypass grafting is the procedure of choice in symptomatic patients [8].…”

Section: Discussionmentioning

confidence: 99%

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Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Naseerullah

Baig

Wool

et al. 2018

Journal of Cardiology Cases

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Left ventricular free wall rupture is invariably a calamitous event with the most frequent presentation being sudden hemodynamic collapse and death [1]. In such a scenario, however, a pseudoaneurysm may be considered a blessing in disguise. Left ventricular pseudoaneurysm (LVPA) develops when the rupture is contained by adherent pericardium, overlying fibrin and clot, or scar tissue. This prevents the rapid accumulation of blood in the pericardial space which would have otherwise led to death via the formation of a fatal pericardial tamponade. In contrast to rupture per se, one with a false aneurysm can lead to longer survival, thus providing physicians with crucial hours, days, or rarely even weeks to make the diagnosis [2]. LVPA is clinically uncommon and remains a challenge to diagnose. It can have numerous presentations, ranging from asymptomatic to chest pain and dyspnea [3]. Hence, it merits a high index of suspicion. The importance of making the diagnosis cannot be overstated, since the incidence of a fatal left ventricular rupture from a pseudoaneurysm varies from 19 to 32% [4]. We present a case in which an asymptomatic LVPA was diagnosed by picking up a new murmur on physical examination. Case report A 70-year-old male of Vietnamese origin was referred to the emergency room from an urgent care set up because of chest pain,

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Left ventricle pseudoaneurysm: Diagnosis by a new murmur

Naseerullah

Baig

Wool

et al. 2018

Journal of Cardiology Cases

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“…Therefore it is recommended surgery after diagnosis. Surgical procedures, closure of the aneurysm's orifice through c-endocardial or epicardial approach (9). Transcatheter closure of the left ventricular pseudoaneurysm is a feasible alternative for high-risk surgical candidates (10).…”

Section: Discussionmentioning

confidence: 99%

Idiopathic left ventricular pseudo aneurysm that look like left ventricle mass image

Ulucan¹,

Keser²,

Kaya³

et al. 2016

Turk J Bioch

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CaseA 82 year-old female patient admitted to cardiology clinic complain about chest pain, palpitation and dyspnea. The symptoms were exacerbated within 5 days. Hypertension was present as a risk factor. Her blood pressure was 155/95 mmHg, and pulse-rate was regular at a rate 85/min. On Physical examination there was no any significant problem. There was no ischemic sign in the electrocardiography. The transthorasic echocardiography (TTE) examination showed an image that looks like a bulk attached on left ventricular wall (Figure 1-2).

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“…Despite that MI is the most frequent cause of this condition, the presence of Ps has been described in the context of other conditions, such as mitral valve replacement, trauma or tumor invasion [1]. The Ps develops when a zone of cardiac rupture is surrounded by the pericardium, associated with an inflammatory and pro-thrombotic process that prevents progression to rupture and cardiac tamponade [2]. Previously the progression of these Ps to rupture in a great percentage of patients, leading to the classical indication of surgical correction, has been described [3].…”

mentioning

confidence: 99%