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Posttraumatic left ventricular pseudoaneurysm due to intramyocardial dissecting hematoma
D Maselli1, E Micalizzi, R Pizio
1Department of Cardiac Surgery, Ospedale Maggiore della Carità, Novara, Italy.
The Annals of Thoracic Surgery
|October 6, 1997
Abstract:
A left ventricular aneurysm can develop in patients sustaining blunt chest injury. This condition has been attributed to myocardial contusion or to a direct vascular lesion leading to myocardial necrosis. We report the case of a pseudoaneurysm resulting from myocardial dissection beginning from a small tear in the endocardial wall. Successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure of the communications between the aneurysm and the left ventricular cavity is described.