A Case Report of Left Ventricular Pseudo-false Aneurysm after Myocardial Infarction

iDepartment of Cardiovascular Surgery, Iwate Medical University, Memorial Heart Center, Morioka, Japan and Kusatsu General Hospital*, Kusatsu, Japanj

Satoshi Ohsawa Junichi Koizumi Yoshiaki Fukuhiro
Hitoshi Okabayashi Kohei Kawazoe*
A 53-year-old woman complained of symptoms of congestive heart failure and was admitted to a local hospital. Transthoracic echocardiography showed pericardial effusion and left ventricular aneurysm. The patient was transferred to our hospital for examination for treatment. Coronary angiography demonstrated triple vessels disease. The patient underwent left ventricular reconstruction and coronary bypass grafting. The operative findings showed no adhesion between the aneurysm and the pericardium. The pathological examination after operation indicated a ventricular pseudo-false aneurysm. The differentiation of left ventricular pseudo-false aneurysm from pseudo-aneurysm can be difficult.
  Jpn. J. Cardiovasc. Surg. 38:110-113i2009j