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[Ventricular pseudo-false aneurysm after myocardial infarction; report of a case]
1Department of Cardiovascular Surgery, Toyooka Hospital, Toyooka, Japan.
Insights
A 72-year-old man experienced chest discomfort and syncope due to a left ventricular aneurysm. Surgical repair was successful, confirming a pseudo-false ventricular aneurysm through histological examination.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Left ventricular aneurysms are rare but serious cardiac conditions.
- Coronary artery disease is a common cause of left ventricular aneurysm.
- Prompt diagnosis and surgical intervention are crucial for patient outcomes.
Observation:
- A 72-year-old male presented with chest discomfort and syncope.
- Echocardiography revealed a left ventricular aneurysm.
- Coronary arteriography showed complete occlusion of the right coronary artery.
Findings:
- A diagnosis of false aneurysm was made due to a small communication with the left ventricle.
- Surgical repair involved resection of the left ventricular aneurysm.
- Histological examination confirmed a pseudo-false ventricular aneurysm of the left ventricle.
Implications:
- This case highlights the importance of comprehensive diagnostic imaging in evaluating complex cardiac conditions.
- Successful surgical management of left ventricular aneurysms can lead to favorable patient outcomes.
- Understanding the pathophysiology of pseudo-false aneurysms is essential for guiding treatment strategies.
Abstract:
A 72-year-old man was admitted to our hospital with chest discomfort and syncope. The echocardiography showed the left ventricular aneurysm. The coronary arteriography revealed a complete occlusion at distal portion of the right coronary artery and anterior aneurysm of the left ventricle was demonstrated. We diagnosed that it was false aneurysm because of communicating with the left ventricle through a small orifice. Surgical repair was carried out after resection of the aneurysm of the left ventricle. The postoperative course was uneventful and discharged on the 33rd day after surgery. Pseudo-false ventricular aneurysm of the left ventricle was diagnosed by histological examination.