Late presentation of left ventricular pseudoaneurysm and ventricular septal defect after surgery for penetrating cardiac injury

Schwengel, Robert H.; Bennett, Susan K.; Sequeira, Alejandro J.; White, Charles S.; Ziskind, Andrew A.

doi:10.1016/0002-8703(94)90564-9

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…Most publications and cases focus on mechanical complications after STEMI. To the best of our knowledge, there are no ante-mortem cases in the literature with the combination we have presented [26,27]. We herein reported a case of simultaneous LV pseudo-aneurysm accompanied with VSR after an NSTEMI, in which modern echocardiography and high clinical suspicion prompted appropriate management and good outcomes.…”

Section: Resultsmentioning

confidence: 76%

Simultaneous Left Ventricular Pseudo-Aneurysm and Ventricular Septal Rupture After a Non-ST Segment Myocardial Infarction

Davila¹,

Slipczuk²,

Gupta³

2015

J Med Cases

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The incidence of myocardial rupture following an acute coronary syndrome has dramatically decreased with the implementation of early reperfusion strategies. High clinical suspicion is critical for early recognition and appropriate management of myocardial mechanical complications. Here we present an uncommon combination of left ventricular pseudo-aneurysm and ventricular septal rupture complicated with coronary sinus shunting following a non-ST elevation myocardial infarction, where modern echocardiography allowed prompt and accurate identification of the event.

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Section: Resultsmentioning

confidence: 76%

Simultaneous Left Ventricular Pseudo-Aneurysm and Ventricular Septal Rupture After a Non-ST Segment Myocardial Infarction

Davila¹,

Slipczuk²,

Gupta³

2015

J Med Cases

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“…LV PAN associated with VSR is extremely rare, with only one patient reported in the literature. 3 The patient presented with worsening dyspnea on exertion 18 months after a gunshot wound in the right superior chest. A TTE showed a left-to-right shunt at mid-ventricular level.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal Two‐ and Three‐Dimensional Echocardiographic Diagnosis of Combined Left Ventricular Pseudoaneurysm and Ventricular Septal Rupture

et al. 2002

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Two- (2-D) and three-dimensional (3-D) transesophageal echocardiography (TEE) were useful in making the diagnosis of combined left ventricular pseudoaneurysm and ventricular septal rupture in an elderly patient presenting with mediastinitis and worsening heart failure following coronary artery bypass graft surgery. The diagnosis was not suspected clinically. Three-dimensional TEE served to increase the confidence level with which the diagnosis of this combined lesion was made. Additionally, 3-D TEE proved superior to 2-D TEE in assessing the size of the left ventricular rupture site.

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Postinfarction Left Ventricular Pseudoaneurysm

Csapó

Voith

Tar

et al. 1997

Clinical Cardiology

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Summary:Left ventricular wall rupture after myocardial infarction is a mechanical complication that may result in a pseudoaneurysm. Between January 1994 and October 1996, false or pseudoaneurysms were detected in 6 (0.0026%) of 2,600 consecutive patients (4 women, 2 men; mean age 59.4 years) undergoing cardiac catheterization at University Medical School, Debrecen, Hungary. All patients had a history of cardiovascular disease, with diagnosis of pseudoaneurysm confirmed by echocardiography. The average time from the occurrence of acute infarction to diagnosis was 37.0 days (range 3-80 days). All patients were in New York Heart Association functional class IV congestive heart failure; in four patients cardiogenic shock was present. Five patients underwent coronary angiography, which demonstrated multivessel disease and occlusion of the infarct-related artery (TIMI 0) without adequate collateral circulation (grade 0-1). Five patients had surgical repair of the false aneurysm, and, in three patients, concomitant coronary bypass grafting was performed. The 2-year mortality rate for all patients was 50%. Early diagnosis of false aneurysm is facilitated by echocardiography, and coronary angiography is required before surgery. Early surgical correction with coronary revascularization is advised.

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Late presentation of left ventricular pseudoaneurysm and ventricular septal defect after surgery for penetrating cardiac injury

Cited by 6 publications

References 6 publications

Simultaneous Left Ventricular Pseudo-Aneurysm and Ventricular Septal Rupture After a Non-ST Segment Myocardial Infarction

Simultaneous Left Ventricular Pseudo-Aneurysm and Ventricular Septal Rupture After a Non-ST Segment Myocardial Infarction

Transesophageal Two‐ and Three‐Dimensional Echocardiographic Diagnosis of Combined Left Ventricular Pseudoaneurysm and Ventricular Septal Rupture

Postinfarction Left Ventricular Pseudoaneurysm

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