1/46. Repeat syncopal attacks due to postsurgical right ventricular pseudoaneurysm.Pseudoaneurysm of the right ventricular outflow tract is a rare lesion caused by disruption of the ventricular wall that allows the blood to leak into the surrounding space. It often complicates surgery involving right ventriculotomy and progressively increases in size, therefore causing airway compression, pulmonary perfusion asymmetry, thromboembolism, and rupture. We report on a patient who developed right ventricular pseudoaneurysm early after surgery for atrio-ventricular septal defect with tetralogy of fallot and needed emergency surgical repair due to low cardiac output and repeat syncopal attacks.- - - - - - - - - - ranking = 1keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
2/46. Acute rupture of a left ventricular false aneurysm.Left ventricular aneurysm develop when rupture of the free ventricular wall is contained by the inflammatory surrounding tissues. These false aneurysms rupture secondarily and should be treated soon after diagnosis. The diagnosis is suggested by echocardiography and confirmed by cardiac catheterization. Immediate surgery is recommended, with good survival in most reports. The patient presented in this report had ruptured his left ventricular false aneurysm before diagnosis. He was operated and had a good initial postoperative course. He died later from a severe pulmonary infection.- - - - - - - - - - ranking = 0.07024278632309keywords = aneurysm (Clic here for more details about this article) |
3/46. Delayed left atrial wall dissection after mitral valve replacement.We report two unusual cases of left atrial wall dissection creating a left atrial pseudoaneurysm associated with regurgitation a few months after mitral valve replacement. We emphasize the important role of transesophageal echocardiography in the diagnosis. The two patients successfully underwent surgery.- - - - - - - - - - ranking = 0.19799306324791keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/46. Fatal cardiac rupture: a case of subepicardial aneurysm after myocardial infarction.We report a case in which 2-dimensional echocardiography established the diagnosis of a left ventricular subepicardial aneurysm that was followed by rupture and sudden death before surgery. Two-dimensional echocardiography is of great help in detecting this rare complication after myocardial infarction. Urgent surgical treatment is warranted for this condition.- - - - - - - - - - ranking = 0.050173418802207keywords = aneurysm (Clic here for more details about this article) |
5/46. Cardiac rupture caused by staphylococcus aureus septicaemia and pericarditis: an incidental finding.A 35 year old woman with a long history of intravenous drug abuse presented to a local hospital with severe anaemia, fever, raised markers of inflammation, and positive blood cultures for staphylococcus aureus. She responded to treatment with antibiotics with improvement in her symptoms and markers of inflammation. Four weeks later a "routine" echocardiogram showed a rupture of her left ventricular apex and a large pseudoaneurysm. There had been no deterioration in her symptoms or haemodynamic status to herald this new development. It was successfully repaired surgically and the patient made a good recovery.- - - - - - - - - - ranking = 0.19799306324791keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
6/46. Echocardiographical demonstration of a progressively expanding left ventricular aneurysm preceded by endomyocardial tearing.A 70-year-old woman with acute myocardial infarction (AMI) had a narrow necked left ventricular (LV) aneurysm and pericardial effusion. Although there had been no obvious sign of pseudoaneurysm at the first operation on the 13th day after onset, LV volume increased so dramatically that dyspnea on mild exertion was induced only 2 months after the onset of AMI. She underwent Dor's operation for the expanded LV aneurysm. The histological findings of the resected tissue, which were fibrotic epicardial lesion with small myocyte islands, indicated a true aneurysm. The ultrasound manifestation of a narrow necked aneurysm with abrupt thinning of the myocardium at the hinge point may be a valuable predictor of free wall rupture in the early phase and severely progressive LV remodeling in the late phase. Such aneurysms need to be considered as high risk.- - - - - - - - - - ranking = 0.28830521709188keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
7/46. Ruptured left ventricular pseudoaneurysm penetrating into the left pleural cavity.We experienced a rare case of ruptured left ventricular pseudoaneurysm penetrating into the left pleural cavity. A 77-year-old woman was first diagnosed with unstable angina due to sudden chest pain onset and abnormal electrocardiographic findings. In 2 days, massive left pleural effusion was recognized by chest X-ray, though subsequent computed tomographic scans did not show any aortic pathology. We observed her with left thoracentesis alone. Two days later, cardiac arrest suddenly occurred and emergency surgery was undertaken after resuscitation by percutaneous cardiopulmonary support. In surgery, a moderate amount of intrapericardial hematoma caused by rupture of a left ventricular pseudoaneurysm penetrating into the left pleural cavity was found and successfully repaired. This rare rupture of a left ventricular pseudoaneurysm penetrating into the left pleural cavity generated massive hemo-hydrothorax.- - - - - - - - - - ranking = 1.3859514427354keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/46. Repair of a ruptured posterior left ventricular pseudoaneurysm.A 51 year old man with a large ruptured posterior left ventricular (LV) pseudoaneurysm (PsAn) was successfully surgically treated. Complete repair was performed by excision of the PsAn, leaving a cuff of fibrous tissue suitable to hold sutures and a Dacron patch reconstruction of the LV. On the 7th postoperative day, echocardiographic examination confirmed pericardial effusion (swinging heart). Media-stinal drainage tube was performed and the patient was discharged with a good recovery. The patient's preoperative LV ejection fraction (EF) increased from 42.7 to 52% after operation. We consider endoventricular circular patch plasty of ruptured posterior LV PsAn excellent because of the avoidance of thrombus and the effectiveness for improvement of LV function.- - - - - - - - - - ranking = 0.98996531623956keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
9/46. Right atrial rupture.Cardiac rupture is a rare complication of primary cardiac tumors. We present a very uncommon case of cardiac angiosarcoma presenting as a right atrial rupture. A 58-year-old patient presented progressive dyspnea, weight loss, anorexia and asthenia. A chest X-ray revealed global cardiac enlargement, mainly from the right atrium. Transthoracic echocardiography gave rise to the suspicion of right atrial pseudoaneurysm, which was confirmed by transesophageal echocardiography. The ruptured atrial wall was clearly seen using contrast echo. In addition, magnetic resonance imaging provided an excellent tool in the anatomic evaluation of this uncommon complication. The diagnosis of angiosarcoma was hystologically confirmed.- - - - - - - - - - ranking = 0.19799306324791keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
10/46. The rapid diagnosis of pseudoaneurysm formation in left ventricular free wall rupture.Left ventricular rupture with subsequent pseudoaneurysm formation is an uncommon but potentially catastrophic complication of acute myocardial infarction. We describe a patient with suspected myocardial rupture in whom the diagnosis was rapidly established with the novel use of contrast echocardiography in an emergency room setting. Contrast echocardiography is compared to other modalities in diagnosing this rare, potentially fatal, condition.- - - - - - - - - - ranking = 0.98996531623956keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
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