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Published on: July 18, 2014
Delayed presentation of iatrogenic left ventricular pseudoaneurysm.
Manoj K Moharana1, Saket Agarwal, Harpreet S Minhas
1Department of Cardio Vascular & Thoracic Surgery, GB Pant Hospital, New Delhi, India.
Journal of Cardiac Surgery
|March 6, 2010
Summary
A rare left ventricular pseudoaneurysm, caused by iatrogenic trauma from pericardiocentesis, was successfully treated surgically. This case highlights a unique complication of a common cardiac procedure.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Left ventricular aneurysms typically result from ischemic heart disease.
- Iatrogenic causes of left ventricular aneurysms are exceptionally rare.
- Pericardiocentesis is a common procedure for diagnosing and managing pericardial effusions.
Observation:
- A patient developed a left ventricular pseudoaneurysm one year after undergoing pericardiocentesis.
- The pseudoaneurysm was not associated with ischemic heart disease.
- Diagnostic imaging confirmed the presence and extent of the pseudoaneurysm.
Findings:
- Successful surgical repair of the iatrogenic left ventricular pseudoaneurysm was achieved.
- The patient's post-operative recovery was uneventful.
- Histopathological examination confirmed the nature of the pseudoaneurysm.
Implications:
- This case expands the known spectrum of complications following pericardiocentesis.
- Highlights the importance of considering iatrogenic causes in non-ischemic left ventricular aneurysms.
- Surgical intervention can be a safe and effective treatment for left ventricular pseudoaneurysms.
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