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Left ventricular pseudo-false aneurysm perforating the right ventricle: two case reports.
Hiroki Moriuchi1, Masaaki Koide2, Yoshifumi Kunii2
1Department of Cardiovascular Surgery, Seirei Hamamatsu Hospital, Shizuoka, Japan. porimori22@gmail.com.
Surgical repair of left ventricular (LV) pseudo-false aneurysms perforating the right ventricle (RV) is crucial. Prompt intervention prevents fatal complications and improves patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Cardiac Pathology
Background:
- Left ventricular (LV) pseudo-false aneurysm is a rare, fatal complication of myocardial infarction.
- Perforation into the right ventricle (RV) can cause acute heart failure.
Purpose of the Study:
- To describe the surgical repair of two cases of LV pseudo-false aneurysm perforating the RV.
Main Methods:
- Surgical repair via LV incision, with direct suture or pericardium patch closure of RV orifices.
- Aneurysm repair using bovine pericardium and/or dacron patches.
Main Results:
- Successful surgical repair in both cases.
- Uneventful postoperative course for both patients.
Conclusions:
- Urgent surgical repair of LV pseudo-false aneurysms perforating the RV is recommended.
- Timely intervention is vital before patient condition deteriorates or serious complications arise.
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