eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2013
vol. 10
 
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abstract:

Case reports
Successful surgical repair of a chronic left ventricular pseudoaneurysm

Katarzyna Wdowiak-Okrojek
,
Piotr Lipiec
,
Monika Szewczyk
,
Andrzej Lubiński
,
Jarosław D. Kasprzak

Kardiochirurgia i Torakochirurgia Polska 2013; 10 (3): 279–282
DOI: https://doi.org/10.5114/kitp.2013.38103
Online publish date: 2013/10/09
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A 53-year-old patient, previously in good health condition, was admitted to the Cardiology Department with a history of chest pain and ECG abnormalities suggesting a recent myocardial infarction. Troponin level was not elevated, but the echocardiogram revealed a huge aneurysm with possible wall rupture and thrombus adjacent to the apex. The ejection fraction was very low, estimated for 23%. The magnetic resonance imaging confirmed the primary diagnosis of pseudoaneurysm. Treatment with ACE-i and diuretics was initiated, and the patient was discharged in stable condition. Subsequently, the case was discussed with cardiac surgeons: despite high risk, the patient was qualified for operation. The left ventricle was reconstructed with a bovine pericardial patch using the Menicanti method, and the patient recovered well. The control echocardiogram showed significant improvement of left ventricular contractility with ejection fraction of 35%.
keywords:

pseudoaneurysm, reconstruction of the left ventricle
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