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. 1978 Jun;5(2):144–149.

FALSE ANEURYSM OF THE LEFT VENTRICLE: CASE REPORT WITH PRE- AND POSTOPERATIVE EVALUATION

Bernardo Treistman 1, Tulio A Sulbaran 1, Denton A Cooley 1
PMCID: PMC287721  PMID: 15216066

Abstract

A 66-year-old woman developed chronic congestive heart failure after myocardial infarction of the anterior wall of the left ventricle. Angiographic studies revealed total proximal occlusion of the left anterior descending coronary artery and a large saccular aneurysm located on the anteroapical aspect of the left ventricle. Resection of a false aneurysm at operation resulted in improved cardiac function, and the patient made an uneventful recovery. Repeat evaluation six months later confirmed normal cardiac hemodynamics and left ventricular angiographic characteristics. To our knowledge, this is the first documented case of normalized heart function resulting from resection of a false aneurysm of the left ventricle. Functional classification according to the New York Heart Association improved dramatically, rising from Class IV preoperatively to Class I after operation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Botvinick E. H., Shames D., Hutchinson J. C., Roe B. B., Fitzpatrick M. Noninvasive diagnosis of a false left ventricular aneurysm with radioisotope gated cardiac blood pool imaging. Differentiation from true aneurysm. Am J Cardiol. 1976 Jun;37(7):1089–1093. doi: 10.1016/0002-9149(76)90430-6. [DOI] [PubMed] [Google Scholar]
  2. Chesler E., Korns M. E., Semba T., Edwards J. E. False aneurysms of the left ventricle following myocardial infarction. Am J Cardiol. 1969 Jan;23(1):76–82. doi: 10.1016/0002-9149(69)90244-6. [DOI] [PubMed] [Google Scholar]
  3. Cokkinos D. V., Hallman G. L., Cooley D. A., Zamalloa O., Leachman R. D. Left ventricular aneurysm: analysis of electrocardiographic features and postresection changes. Am Heart J. 1971 Aug;82(2):149–157. doi: 10.1016/0002-8703(71)90259-6. [DOI] [PubMed] [Google Scholar]
  4. Davidson K. H., Parisi A. F., Harrington J. J., Barsamian E. M., Fishbein M. C. Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. Review of the literature. Ann Intern Med. 1977 Apr;86(4):430–433. doi: 10.7326/0003-4819-86-4-430. [DOI] [PubMed] [Google Scholar]
  5. Ersek R. A., Chesler E., Korns M. E., Edwards J. E. Spontaneous rupture of a false left ventricular aneurysm following myocardial infarction. Am Heart J. 1969 May;77(5):677–680. doi: 10.1016/0002-8703(69)90554-7. [DOI] [PubMed] [Google Scholar]
  6. Fadali M. A., Soulen R. L., Sands M. J., Jr, Davies A., Lemole G. M., Kaplin G. F. Surgical treatment of post infarction left ventricular pseudoaneurysm. J Cardiovasc Surg (Torino) 1974 Jul-Aug;15(4):461–466. [PubMed] [Google Scholar]
  7. Gueron M., Hirsch M., Venderman K., Freund H., Borman J. Pseudoaneurysm of left ventricle. Report of a case diagnosed by angiography and successfully repaired. Br Heart J. 1973 Jun;35(6):663–665. doi: 10.1136/hrt.35.6.663. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kitamura S., Echevarria M., Kay J. H., Krohn B. G., Redington J. V., Mendez A., Zubiate P., Dunne E. F. Left ventricular performance before and after removal of the noncontractile area of the left ventricle and revascularization of the myocardium. Circulation. 1972 May;45(5):1005–1017. doi: 10.1161/01.cir.45.5.1005. [DOI] [PubMed] [Google Scholar]
  9. Roberts W. C., Morrow A. G. Pseudoaneurysm of the left ventricle. An unusual sequel of myocardial infarction and rupture of the heart. Am J Med. 1967 Oct;43(4):639–644. doi: 10.1016/0002-9343(67)90187-8. [DOI] [PubMed] [Google Scholar]
  10. Roelandt J., Brand M., Vletter W. B., Nauta J., Hugenholtz P. G. Echocardiographic diagnosis of pseudoaneurysm of the left ventricle. Circulation. 1975 Sep;52(3):466–472. doi: 10.1161/01.cir.52.3.466. [DOI] [PubMed] [Google Scholar]
  11. SMITH R. C., GOLDBERG H., BAILEY C. P. Pseudoaneurysm of the left ventricle: diagnosis by direct cardioangiography; report of two cases successfully repaired. Surgery. 1957 Sep;42(3):496–510. [PubMed] [Google Scholar]
  12. Vlodaver Z., Coe J. I., Edwards J. E. True and false left ventricular aneurysms. Propensity for the altter to rupture. Circulation. 1975 Mar;51(3):567–572. doi: 10.1161/01.cir.51.3.567. [DOI] [PubMed] [Google Scholar]

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