@Article{Bugajski2008,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="5",
number="4",
year="2008",
title="DZIELIMY SIĘ DOŚWIADCZENIEMLarge true left ventricular aneurysm",
abstract=" Background:  Left ventricular aneurysm results most commonly from myocardial infarction. True or false \&#8211; in many cases is apparent only when surgery is done.   Case report:  A 61-year-old male was admitted to the hospital due to weakness, exercise tolerance deterioration and increasing dyspnoea. He did not complain of chest pain. TEE examination revealed a false left ventricular aneurysm of the posterior wall containing thrombotic material. Coronarography showed total occlusion of CX and non-critical occlusion of LAD. Aneurysmectomy revealed a huge, true left ventricular aneurysm of the posterior wall, attached to the diaphragm and relocating the heart. Dislocation of heart made ascending aorta cannulation impossible; thus femoral cannulation was performed. The left ventricle was closed by a double layer linear suture and two venous coronary-artery grafts were sewn.    Results:  The postoperative course was complicated by transient symptoms of confusion and pneumonia. On POD 14 the patient in good overall condition was discharged from the cardiac surgery department.    Conclusions:  The symptoms of left ventricular aneurysm could be the first symptoms of myocardial infarction. Eventually the surgical procedure revealed a true left ventricular aneurysm that was depicted as a false aneurysm in preoperative evaluation. Uncommon arterial cannulation could improve safety of the surgical procedure.",
author="Bugajski, Paweł
and Jarząbek, Radosław
and Greberski, Krzysztof
and Olszewski, Roman
and Jedliński, Ireneusz
and Duszyńska, Małgorzata
and Wardęga, Tomasz
and Kalawski, Ryszard",
pages="436--439",
url="https://www.termedia.pl/DZIELIMY-SIE-DOSWIADCZENIEM-Large-true-left-ventricular-aneurysm,40,11589,1,1.html"
}