A Case of Pseudo-False Aneurysm of the Left Ventricle with Ventricular Septal Perforation.
10.4326/jjcvs.31.68
- VernacularTitle:心筋梗塞後に偽性仮性心室りゅうと心室中隔穿孔を合併した高齢者の１例
- Author:
Masanobu Yamauchi
;
Tomoki Hanada
;
Seishi Nosaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(1):68-70
- CountryJapan
- Language:Japanese
-
Abstract:
We report here a case of pseudo-false aneurysm of the left ventricle with ventricular septal perforation following myocardial infarction. An 85-year-old man was treated for acute inferior myocardial infarction three months previously. He was admitted due to an acute posterior myocardial infarction. Since a cardiac catheter study showed three diseased coronary arteries, a left ventricular aneurysm and a ventricular septal perforation, he underwent emergency surgery. The ventricular aneurysm was located on the right side along the posterior descending branch, and was 4×1.5cm in size. We ruled out a false aneurysm because there was no adhesion between the epicardium and the pericardium. The communication between the aneurysm and the left ventricle was then closed with a Gore-Tex patch, and the perforation of the right ventricle was closed directly. CABG was performed for the left anterior descending artery using a vein graft. The postoperative course was uneventful, and he was discharged on the 27th postoperative day. The pathological findings showed a pseudo-false aneurysm of the ventricle.
