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[Pseudo-false aneurysm of the left ventricle perforated into the right ventricle--a case report]
1Department of Cardiovascular Surgery and Internal Medicine, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Abstract:
A case of pseudo-false aneurysm of the left ventricle perforated into the right ventricle was reported. The patient was 60-year-old male with acute inferior myocardial infarction. Echocardiography showed a thin wall cavity on the apex of the right ventricle. Communication between the left ventricle and the right ventricle was detected on pulsed Doppler echocardiography. Surgery revealed a pseudo-false aneurysm in the free wall of the right ventricle communicating to both ventricles. We emphasize the importance of preoperative morphological and hemodynamic evaluation with Doppler echocardiography in the case of post-myocardial infarction ventricular septal perforation.