Skip to main content
NCBI home page
The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1984 Jun;11(2):146–152.

Posterobasal Left Ventricular Aneurysms: Clinical Results and Surgical Treatment

Manuel Galiñanes 1, Juan Duarte 1, Diego Fernandez De Caleya 1, Fernando Sarnago 1
PMCID: PMC341699  PMID: 15227075

Abstract

Of 152 left ventricular aneurysms that occurred after infarction and were treated surgically, eight were located in the posterobasal segment. All of them were true aneurysms. Combined procedures, performed at the time of the aneurysm resection, included mitral valve replacement (two patients), coronary artery bypass grafting (five patients), closure of an interventricular septal defect (one patient), and carotid artery endarterectomy (one patient). Four had slight mitral regurgitation that disappeared after resection of the aneurysm, and two exhibited severe mitral regurgitation that required mitral valve replacement. Six patients survived operation and are free of symptoms. The literature shows a high incidence of false aneurysms that have a propensity toward rupture in this anatomical location. At times, there are difficulties in the differential diagnosis of true and false aneurysms and, consequently, we recommend an aggressive surgical approach.

Full text

PDF
146

Images in this article

147Image
on p.147

Selected References

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

  1. Austen W. G. Surgical treatment of ventricular aneurysms. N Engl J Med. 1973 Feb 1;288(5):264–265. doi: 10.1056/NEJM197302012880513. [DOI] [PubMed] [Google Scholar]
  2. Buehler D. L., Stinson E. B., Oyer P. E., Shumway N. E. Surgical treatment of aneurysms of the inferior left ventricular wall. J Thorac Cardiovasc Surg. 1979 Jul;78(1):74–78. [PubMed] [Google Scholar]
  3. Cheng T. O. Incidence of ventricular aneurysm in coronary artery disease. An angiographic appraisal. Am J Med. 1971 Mar;50(3):340–355. doi: 10.1016/0002-9343(71)90223-3. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Dubnow M. H., Burchell H. B., Titus J. L. Postinfarction ventricular aneurysm. A clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J. 1965 Dec;70(6):753–760. doi: 10.1016/0002-8703(65)90331-5. [DOI] [PubMed] [Google Scholar]
  6. 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]
  7. Gobel F. L., Visudh-Arom K., Edwards J. E. Pseudoaneurysm of the left ventricle leading to recurrent pericardial hemorrhage. Chest. 1971 Jan;59(1):23–27. doi: 10.1378/chest.59.1.23. [DOI] [PubMed] [Google Scholar]
  8. Gueron M., Wanderman K. L., Hirsch M., Borman J. Pseudoaneurysm of the left ventricle after myocardial infarction: A curable form of myocardial rupture. J Thorac Cardiovasc Surg. 1975 May;69(5):736–742. [PubMed] [Google Scholar]
  9. HURST C. O., FINE G., KEYES J. W. PSEUDOANEURYSM OF THE HEART. REPORT OF A CASE AND REVIEW OF LITERATURE. Circulation. 1963 Sep;28:427–436. doi: 10.1161/01.cir.28.3.427. [DOI] [PubMed] [Google Scholar]
  10. Loop F. D., Effler D. B., Navia J. A., Sheldon W. C., Groves L. K. Aneurysms of the left ventricle: survival and results of a ten-year surgical experience. Ann Surg. 1973 Oct;178(4):399–405. doi: 10.1097/00000658-197310000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Mundth E. D., Buckley M. J., Daggett W. M., Sanders C. A., Austen W. G. Surgery for complications of acute myocardial infarction. Circulation. 1972 Jun;45(6):1279–1291. doi: 10.1161/01.cir.45.6.1279. [DOI] [PubMed] [Google Scholar]
  12. 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]
  13. Swanson D. A., Liu C. M., Alexander C. S., Kieffer S. A. Posterior left ventricular pseudoaneurysm. Angiographic-pathologic correlation. Radiology. 1973 Feb;106(2):275–276. doi: 10.1148/106.2.275. [DOI] [PubMed] [Google Scholar]
  14. Van Tassel R. A., Edwards J. E. Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. Chest. 1972 Feb;61(2):104–116. doi: 10.1378/chest.61.2.104. [DOI] [PubMed] [Google Scholar]
  15. 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]
  16. Walker W. E., Stoney W. S., Alford W. C., Jr, Burus G. R., Frist R. A., Glassford D. M., Thomas C. S., Jr Techniques and results of ventricular aneurysmectomy with emphasis on anteroseptal repair. J Thorac Cardiovasc Surg. 1978 Dec;76(6):824–831. [PubMed] [Google Scholar]
  17. Webb W. R., Parker F. B., Jr, Neville J. F., Jr, Hanson E. L. Acute mechanical complications of coronary arterial disease. Surgical correction. Arch Surg. 1974 Aug;109(2):251–253. doi: 10.1001/archsurg.1974.01360020113021. [DOI] [PubMed] [Google Scholar]

Articles from Texas Heart Institute Journal are provided here courtesy of Texas Heart Institute

RESOURCES