1/21. Sutureless technique for subacute left ventricular free wall rupture: A case report of an 85-year-old.This case was an 85-year-old female who developed left ventricular free wall rupture (LVFWR) of the anterior wall 13 days after an acute myocardial infarction. She was further complicated with an ascending aortic aneurysm and severe aortic regurgitation. The wall was repaired using a sutureless technique with an autologous pericardial patch and GRF glue without cardiopulmonary bypass. Although the complication of a left ventricular aneurysm was seen, the postoperative course was uneventful. Nevertheless, she is doing well 9 months after surgery.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/21. Ventricular septal aneurysm: a complication of myocardial infarction.We report the case of a ventricular septal aneurysm in a patient with a previous inferior myocardial infarction. Two-dimensional echocardiography demonstrated a cystic cavity in the muscular septum with a small communication into the left ventricle. No evidence of left-to-right shunt was detected with Doppler echocardiography or during left ventriculography.- - - - - - - - - - ranking = 2.5keywords = aneurysm (Clic here for more details about this article) |
3/21. Surgical repair of an impending rupture of left ventricular (LV) aneurysm with septal perforation and rupture of papillary muscle after acute myocarial infarction.Acute cardiac rupture following acute myocardial infarction (AMI) carries a high mortality. The progression and rapid hemodinamic deterioration is the usual clinical course, with 50-80% mortality within the first week. The combination of septal perforation, impending cardiac rupture of left ventricular (LV) aneurysm and rupture of papillary muscle after AMI has rarely been reported. This article describes a case of successful surgical repair of this condition in a 52 years old man. The important clinical features were as follows: 1) a sick looking patient in gross congestion heart failure, 2) persistent pulmonary oedema, 3) hepatomegali, 4) arrhythmias, 5) cardiogenic shock. The respirator was removed on the first postoperative day. An echocardiography evaluation on the 3rd postoperative day showed normal LV dimension, normal LV systolic function. There were no VSD and mitral regurgitation, but apical wall and septal still hipokinesia-akinesia. The ejection fraction showed improvement from 44% to 71%. The patient was discharged from hospital on the 30th post-operative day and returned to work after 60th post-operative day. Seven months later today his condition is still good.- - - - - - - - - - ranking = 2.5keywords = aneurysm (Clic here for more details about this article) |
4/21. Anesthetic implications of subacute left ventricular rupture following acute myocardial infarction: a case report.Rupture of the free wall of the left ventricle, a relatively common complication of acute myocardial infarction, is associated with a high mortality rate. The clinical course can vary from catastrophic, that is death, to incomplete rupture with the formation of a pseudoaneurysm. Subacute rupture is a condition that demands expeditious diagnosis and surgical repair if the patient is to survive. Surgical repair can be difficult at best. This article reports a case of subacute rupture of the left ventricle that was successfully repaired using a novel surgical technique and discusses the anesthetic implications surrounding the case.- - - - - - - - - - ranking = 26.376304902632keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/21. Transesophageal two- and three-dimensional echocardiographic diagnosis of combined left ventricular pseudoaneurysm and ventricular septal rupture.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.- - - - - - - - - - ranking = 131.88152451316keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
6/21. New surgical technique of left ventricular free wall rupture: double patch sealing method.We experienced two cases of left ventricular free wall rupture (LVFWR) following acute myocardial infarction (AMI). Case 1, with the blowout type of LVFWR was initially closed by direct suture, followed by hemostasis using a double patch sealing method (DPS) by which the tear was doubly sealed with large and small bovine pericardium patches to which GRF glue was applied. Case 2 with the oozing type of LVFWR was treated only using DPS. Complete hemostasis was achieved in both cases, and aneurysmal dilatation or constrictive heart failure were not detected by postoperative left ventriculography. Therefore, DPS may be useful for treating LVFWR following AMI.- - - - - - - - - - ranking = 0.5keywords = aneurysm (Clic here for more details about this article) |
7/21. Myocardial contusion culminating in a ruptured pseudoaneurysm of the left ventricle--a case report.Blunt chest trauma continues to be one of the most common injuries at all ages. Trauma in general is the leading cause of death in the young to middle-aged segment of our population. Blunt chest injury is said to occur in more than one third of all motor vehicle accidents. Myocardial contusion is the most frequent cardiac injury resulting from blunt chest trauma. autopsy studies indicate that cardiac trauma was directly associated with death in approximately 10% of cases suffering blunt chest injury. Aneurysm formation as a sequela of blunt cardiac trauma is a rare entity and pseudoaneurysm formation is considerably more rare. A case of myocardial contusion resulting in myocardial necrosis, rupture of the ventricle, and pseudoaneurysm formation with subsequent rupture and sudden death is presented.- - - - - - - - - - ranking = 158.25782941579keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/21. Spontaneous closure of postinfarction ventricular septal rupture. A case report.Spontaneous closure of a postinfarction ventricular septal rupture is extremely rare. We present such a case in which the postinfarction ventricular septal rupture closed spontaneously during follow-up. We postulate that the spontaneous closure of the ventricular septal rupture was probably due to thrombosis in the apical and septal aneurysm.- - - - - - - - - - ranking = 0.5keywords = aneurysm (Clic here for more details about this article) |
9/21. Subepicardial aneurysm associated with ventricular septal perforation showing a normal coronary angiogram.Subepicardial aneurysm is a rare complication of acute myocardial infarction and the present case was associated with ventricular septal perforation. echocardiography showed the subepicardial aneurysm adjoining the true apico-anteroseptal aneurysm, with the former being discontinuous with the myocardium at its neck, which was narrower than the diameter of the aneurysm. In addition, color Doppler imaging showed shunt flow from the aneurysm to the right ventricle. coronary angiography revealed extension only of the anterior descending artery without any discernible stenosis. The apical aneurysm was excised and the defect closed with an epicardial patch. The myocardial infarction was probably caused by coronary spasm. echocardiography was useful for diagnosing the anatomy and hemodynamic condition of the subepicardial aneurysm.- - - - - - - - - - ranking = 5.5keywords = aneurysm (Clic here for more details about this article) |
10/21. Subepicardial aneurysm following ventriculotomy closure of ventricular septal rupture due to acute myocardial infarction.We report an unusual case of subepicardial aneurysm (SEA) of the left ventricle. An 82-year-old man had undergone patch closure of a ventricular septal rupture due to anterior acute myocardial infarction. A postoperative left ventriculogram showed the presence of contrast medium outside the left ventricle, and urgent surgery was performed. The lesion was diagnosed as SEA, and was repaired before rupture.- - - - - - - - - - ranking = 2.5keywords = aneurysm (Clic here for more details about this article) |
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