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Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
347
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

298
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
298
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

148
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
148
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

284
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
284
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

274
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Post-Traumatic Giant Left Ventricular Pseudoaneurysm: a Multimedia Presentation.

Danilo Tadao Wada1, Marcel Koenigkam-Santos1,2, André Schmidt2

  • 1Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto Hospital das Clínicas Ribeirão Preto SP Brazil Centro de Ciências das Imagens e Física Médica, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brazil.

Brazilian Journal of Cardiovascular Surgery
|April 10, 2020
PubMed
Summary

Traumatic left ventricular pseudoaneurysms are rare cardiac injuries. This case highlights successful surgical repair of a giant pseudoaneurysm that developed five years after initial myocardial stab injury repair.

Keywords:
AneurysmFalseHeart VentriculesMyocardiumStabSuturesWounds

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Trauma Surgery

Background:

  • Traumatic left ventricular pseudoaneurysms are uncommon cardiac emergencies.
  • Surgical intervention is the standard treatment for these injuries.

Observation:

  • A case report details a myocardial stab injury initially treated with primary suture.
  • Five years post-injury, a giant pseudoaneurysm developed at the injury site.

Findings:

  • The giant pseudoaneurysm successfully underwent surgical repair.
  • This case demonstrates a rare long-term complication of traumatic cardiac injury.

Implications:

  • Highlights the importance of long-term monitoring for patients with repaired traumatic cardiac injuries.
  • Surgical repair remains a viable option for complex pseudoaneurysms.
  • Contributes to understanding the natural history of traumatic ventricular pseudoaneurysms.