Left ventricle perforation and pseudoaneurysm with an unusual presentation of a patient with stomachache. Case report


COD: 01_2010_041-44 Categorie: ,

Bekir Hayrettin Sirin, Ihsan Iskesen, Adnan Taner Kurdal

Ann. Ital. Chir., 2010; 81: 41-44


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In case of the rupture of the free wall of the left ventricle
enclosed by the surrounding pericardium is called
as pseudoaneurysm. Pseudoaneurysm of the left ventricle
(LV) is a rare and fatal problem that may occur after
an acute myocardial infarction, a trauma or the repair
of ventricular aneurysm 1. These left ventricular pseudoaneurysms
(LVPA) are frightening complications because
of threatening a fatal rupture. Operative repair of this
situation is mandatory, therefore recognition of this rare
complication is vital. The pseudoaneurysms usually present
with heart failure and they can be classified as
postinfarction if arides after myocardial infarction, and
postsurgical when it follows cardiac surgery. The cases
diagnosed in two weeks are pointed to as acute, and others
as chronic when diagnosed after three months from
the event. These aneurysms usually progress asymptomatically,
which makes it hard to diagnose as in our case
who was admitted in our clinic with a stomachache.