| A Case of Pseudo-False Aneurysm
of the Left Ventricle with Ventricular Septal Perforation |
| Masanobu Yamauchi |
Tomoki Hanada |
Seishi Nosaka |
(First Department of Surgery, Shimane Medical University,
Izumo, Japan)
|
We report here a case of pseudo-false
aneurysm of the left ventricle with ventricular septal perforation
following myocardial infarction. An 85-year-old man was treated
for acute inferior myocardial infarction three months previously.
He was admitted due to an acute posterior myocardial infarction.
Since a cardiac catheter study showed three diseased coronary
arteries, a left ventricular aneurysm and a ventricular septal
perforation, he underwent emergency surgery. The ventricular
aneurysm was located on the right side along the posterior descending
branch, and was 4×1.5cm in size. We ruled out a false aneurysm
because there was no adhesion between the epicardium and the
pericardium. The communication between the aneurysm and the left
ventricle was then closed with a Gore-Tex patch, and the perforation
of the right ventricle was closed directly. CABG was performed
for the left anterior descending artery using a vein graft. The
postoperative course was uneventful, and he was discharged on
the 27th post-operative day. The pathological findings showed
a pseudo-false aneurysm of the ventricle.
Jpn. J. Cardiovasc. Surg. 31：68-70(2002) |
|
