Asian Cardiovasc Thorac Ann 2008;16:512-513
© 2008 Asia Publishing EXchange Ltd
IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Post-infarction Left Ventricular False Aneurysm
Antonio García-Valentín, MD,
Carlos-A Mestres, PhD,
Ramón Cartañá, MD,
Claudio Fernández-Gallego, MD,
Eduardo Bernabeu, MD,
Miguel Josa, MD
Department of Cardiovascular Surgery, Hospital Clinic, University of Barcelona, Barcelona, Spain
For reprint information contact: C.A. Mestres, MD Tel: 34 93 227 5515 Fax: 34 93 227 5749 Email: cmestres{at}clinic.ub.es, Cardiovascular Surgery Department, Hospital Clinic, University of Barcelona, C/Villarroel, 170; Barcelona (E-08036), Spain.
A 63-year-old female had left anterior descending artery intervention with drug-eluting stents. A post-infarction false aneurysm was diagnosed during ventriculography (Figure 1
). She underwent resection of the false aneurysm and removal of intracardiac thrombus (Figure 2). Left ventricular pseudoaneurysms are unusual findings, generated by contained rupture of the infarcted ventricular free wall.
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Figure 2. The false aneurysm was located in the diaphragmatic wall of the left ventricle (2A). It was resected and the defect repaired with a 0.5 mm Gore-Tex® Acuseal Cardiovascular Patch (WL Gore & Associates, Flagstaff, AR, USA). The remainder of the false aneurysm wall was used to cover the membrane (2B).
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