Recurrent Haemorrhage from Iatrogenic Left Ventricular Aneurysm

Cardiac ventricular aneurysm

“…Meticulous care in suturing wounds or incisions in the ventricles is essential. Traumatic false aneurysms have been reported by Smith et al (1957), Lyons and Perkins (1958), and Panday et al (1965).…”

“…TRAUMATIC ANEURYSMS Traumatic aneurysm may be true or false (vide infra). Such aneurysms are very rare in either ventricle after accidental trauma, whether open or closed (Joachim and Mays, 1927;Lyons and Perkins, 1958;Kerr, Wilcken, and Steiner, 1961 ;Stansel et al, 1963;Panday, Parulkar, Kelkar, and Sen, 1965). Harken (1946) found no aneurysm among 56 patients with war wounds close to the heart, even though in 13 instances the missile was found within a cardiac chamber.…”

“…Aneurysms following closed injuries have been reported by Bright and Beck (1935) and Barber (1944). A calcified aneurysm of the left ventricle following a stab wound was reported by Lyons and Perkins (1958), and an aneurysm of the left ventricle following its accidental incision during the exposure of the heart for open cardiopulmonary resuscitation in a case of cardiac arrest was reported by Panday et al (1965). Vasiljevic, Antic, Tomic, Anojcic, and Prokic latrogenic ventricular aneurysm following closed or open operations on the heart is also rare (Kerr et al, 1961 ;Panday et al, 1965) but is occurring with increasing frequency.…”

“…This is especially true of traumatic, and probably infective, aneurysms, in which there is a serious risk of both rupture and haemorrhage (Panday et al, 1965), as well as of ventricular failure and systemic embolism. CAUSE OF DEATH A considerable number of patients with ventricular aneurysm die of causes unrelated to the heart.…”

“…Rupture is common in traumatic aneurysms (Kerr et al, 1961;Panday et al, 1965), and probably in infective ones, but is rare in those following myocardial infarction (Kerr et al, 1961;Effler et al, 1963;Abrams et al, 1963;Bjork, 1964;Cooley et al, 1964;Dubnow et al, 1965).…”