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A Case of Pseudoaneurysm of the Left Ventricle after Patch-and-Glue Repair of Postinfarction Left Ventricle Free Wall Rupture
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（Cardiovascular Surgery, Heart and Aortic Center, Aizawa Hospital, Nagano, Japan）
| Hiroyuki Suzuki |
Toshihiro Fujimatsu |
Hajime Oosawa |
| Fumie Takai |
Masaki Hashimoto |
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We report a case of surgical treatment for pseudoaneurysm 4 years after Patch-and-Glue Repair of left ventricle free wall rupture（LVFWR）due to acute myocardial infarction（AMI）in 2004 in a 74-year-old woman, she had been followed in our hospital. And 2 years later, echocardiography and MRI showed a pseudoaneurysm at the repair spot which was growing very slowly. Since we found a thrombus in the pseudoaneurysm, a redo operation was performed in 2008. The pseudoaneurysm was successfully extirpated, under cardiopulmonary bypass. The infracted area had degenerated to scar tissue and we could suture tightly without worrying about a fissure in the wall. We can use Patch-and-Glue Repair to rescue the LVFWR patients due to AMI in the acute stage because it is possible to remove the pseudoaneurysm in the future, on pseudoaneurysm excision in a firmly infarcted area is possible in the chronic stage.
Jpn. J. Cardiovasc. Surg. 38:323-326（2009）
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