Related Experiment Video
Updated: Jun 6, 2026
07:04
Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
Published on: April 15, 2021
Surgical strategy for subepicardial aneurysm: two case reports.
Masanori Hirota1, Tadashi Omoto, Noboru Ishikawa
1Department of Cardiovascular and Thoracic Surgery, Showa University School of Medicine, Tokyo, Japan.
Summary
Subepicardial aneurysms, a rare complication of acute myocardial infarction, pose a rupture risk. Two cases were successfully treated with patch repair, demonstrating an effective intervention for this serious cardiac condition.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Subepicardial aneurysm is a rare but serious complication following acute myocardial infarction (AMI).
- These aneurysms carry a significant risk of spontaneous rupture, necessitating prompt diagnosis and management.
Observation:
- The study presents two distinct cases of subepicardial aneurysms.
- One aneurysm was detected 1 day post-AMI, while the second was identified 6 weeks after the infarction.
Findings:
- Both subepicardial aneurysms were diagnosed and confirmed in the presented cases.
- Surgical intervention involving patch repair proved to be a successful treatment modality for both patients.
Implications:
- Patch repair is an effective surgical option for managing subepicardial aneurysms post-AMI.
- Early detection and surgical repair can mitigate the risk of rupture and improve patient outcomes.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...