scholarly journals Surgical Treatment of Chronic Giant Left Ventricular Pseudoaneurysm

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Roberto Ramos Barbosa ◽  
Assad Miguel Sassine ◽  
Vitor Martinelli Batista Rolim ◽  
Pietro Dall’Orto Lima ◽  
Eduardo Moreno Judice de Mattos Farina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Left Ventricle ◽  
Hemodynamic Instability ◽  
Left Ventricular ◽  
Heart Team ◽  
Left Ventricular Pseudoaneurysm ◽  
Myocardial Wall ◽  
Life Threatening ◽  
Giant Pseudoaneurysm

Left ventricle pseudoaneurysm is usually a severe complication of acute myocardial infarction, caused by rupture of the myocardial wall with pericardium bleeding. Mortality can reach 50 to 80% within a week if not properly treated. Hemodynamic instability, cardiac tamponade, and cardiac arrest are life-threatening presentations that require surgical treatment. We report a case of a man with a left ventricle chronic giant pseudoaneurysm and unspecific symptoms. After critical judgement on a heart team basis, surgical treatment was successfully performed, with a good long-term clinical outcome.

scholarly journals Surgical Treatment of Left Ventricular Pseudoaneurysm

2014 ◽  
Vol 68 (3) ◽  
pp. 215 ◽  
Author(s):  
Emir Mujanovic ◽  
Jacob Bergsland ◽  
Sevleta Avdic ◽  
Sanja StanimirovicMujanovic ◽  
Tamara KovacevicPreradovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Left Ventricular ◽  
Left Ventricular Pseudoaneurysm

Isolated left ventricular apical hypoplasia in a young child

2021 ◽  
Vol 14 (1) ◽  
pp. e239297
Author(s):  
H Ravi Ramamurthy ◽  
Onkar Auti ◽  
Vimal Raj ◽  
Kiran Viralam
Keyword(s):  
Left Ventricle ◽  
Left Ventricular ◽  
Long Term Outcomes ◽  
Wave Inversion ◽  
St Segment ◽  
Cardiac Apex ◽  
The Right ◽  
First Time ◽  
Left Lead

A 16-month-old, healthy, asymptomatic male child presented with a diagnosis of dilated cardiomyopathy. Cardiovascular examination and chest radiograph were normal. ECG revealed sinus rhythm, and the augmented vector left lead showed raised ST segment, T wave inversion and q waves. Echocardiography showed a globular left ventricle with notched cardiac apex, abnormal echogenicity in the left ventricular apical myocardium, single papillary muscle and normal biventricular function. Cardiac MRI scan revealed a globular left ventricle with fibrofatty changes and retraction of the apex, the papillary muscles closely approximated, and the right ventricle wrapping around the apex of the left ventricle. This is described as isolated left ventricular apical hypoplasia. Diagnosis of this rare entity can be made by MRI, and it has been diagnosed largely in adults. The pathophysiology and long-term outcomes are unknown. We characterise the echocardiography findings of this rare anomaly in a child for the first time in the literature.

Cholesterol Embolism in Intensive Care Patients

1993 ◽  
Vol 8 (2) ◽  
pp. 91-102 ◽  
Author(s):  
Lisa L. Kirkland
Keyword(s):  
Case Reports ◽  
Supportive Therapy ◽  
Hemodynamic Instability ◽  
Cholesterol Embolism ◽  
Intensive Care Patients ◽  
Major Organ ◽  
Life Threatening ◽  
Perineal Gangrene ◽  
Long Term Prognosis

Four case reports are presented, followed by a discussion of the acute, potentially life-threatening manifestations of the cholesterol embolism syndromes. Every major organ system except the lungs may be directly affected by cholesterol emboli; devastating consequences encompass cerebral, myocardial, spinal cord, intestinal, renal, and other visceral organ infarction, as well as peripheral and perineal gangrene. Additional complications include severe hypertension, gastrointestinal bleeding, and hemodynamic instability. Anticoagulants and thrombolytic therapy may exacerbate atheromatous embolism and are relatively contraindicated. Aggressive supportive therapy may improve chances of survival, but long-term prognosis is poor. Prevention remains the most important aspect in this devastating disorder.

scholarly journals Surgical Treatment of Left Ventricular Pseudoaneurysm

2018 ◽  
Vol 131 (12) ◽  
pp. 1496-1497 ◽  
Author(s):  
Yan Zhang ◽  
Yan Yang ◽  
Han-Song Sun ◽  
Yue Tang
Keyword(s):  
Surgical Treatment ◽  
Left Ventricular ◽  
Left Ventricular Pseudoaneurysm

scholarly journals Aorto-esophageal fistula: successful open surgical management of two cases

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Siddharth Pahwa ◽  
Susmit Bhattacharya ◽  
Siddhartha Mukhopadhyay ◽  
Ashok Verma
Keyword(s):  
Surgical Management ◽  
Surgical Repair ◽  
Hemodynamic Instability ◽  
Esophageal Fistula ◽  
Long Term Follow Up ◽  
Life Threatening ◽  
Dacron Patch ◽  
Upper Gastrointestinal

Abstract An aorto-esophageal fistula (AEF) is a rare yet life-threatening cause of upper gastrointestinal bleeding. We report our experience with open surgical management of two cases of AEF. Both cases presented with almost identical presentations: hematemesis and hemodynamic instability. The aorta in the first patient was normal; the defect was small and was repaired with a Dacron patch. The second patient had an aneurysmal aorta, which was replaced with a Dacron graft. Both cases were performed under partial bypass. The esophageal rent in both patients was debrided, primarily closed and buttressed with a vascularized intercostal pedicle. Nonavailability of endovascular personnel and equipment along with hemodynamic instability of the patient influenced our surgical strategy. Long-term follow-up of these patients is necessary to analyze the outcomes of our surgical repair.

scholarly journals P871 Giant left ventricular (pseudo?)aneurysm complicating anterior myocardial infarction

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R Menezes Fernandes ◽  
T Mota ◽  
P Azevedo ◽  
J Bispo ◽  
J Guedes ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Pericardial Effusion ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Heart Team ◽  
Apical Segment ◽  
Ventricular Aneurysm ◽  
Anterior Myocardial Infarction ◽  
Small Pericardial Effusion

Abstract Introduction Clinical approach of cardiac aneurysms and pseudoaneurysms is significantly distinct. Therefore, it is crucial to accurately differentiate these two entities, which could be a real challenge. Case report We describe a case of a 55-year-old woman, with hypertension and previous smoking habits. She was admitted in our Cardiology Department with the diagnosis of anterior acute myocardial infarction, and was submitted to emergent coronariography, unveiling an occlusion of the middle segment of the anterior descending artery. She underwent successful primary percutaneous coronary intervention (PCI) 1h45 after the chest pain onset. Transthoracic echocardiogram (TTE) revealed depressed left ventricle ejection fraction (LVEF 30%), with akinesia of anterior and septal walls and all apical segments. She evolved in Killip-Kimbal class 2 and was discharged clinically stable. One week later, the patient performed a control TTE that showed an apical thrombus, with a small pericardial effusion, and she initiated warfarin. Three weeks later, a reevaluation TTE demonstrated a severe increase of the left ventricle dimensions, with LVEF 32%, and a small pericardial effusion. In apical 4-chambers incidence, it was visualized a linear structure (42 mm x 5 mm) attached to the endocardial border of the anterolateral apical segment and to the apical segment of the interventricular septum, of undefined nature. The apical segments were dyskinetic and had a very thin wall, which could correspond to aneurysm versus pseudoaneurysm. To clarify these findings, the patient performed a cardiac magnetic resonance revealing a large anterior myocardial infarction complicated with extensive myocardial necrosis, severe depression of LV systolic function (LVEF 25%) and septum rupture distal to the right ventricle apex (without connecting with it), compatible with a large apical pseudoaneurysm. The clinical case was discussed in the Heart Team and it was decided to perform cardiac surgery. However, surgical findings showed integrity of septal and free walls, and she underwent an aneurysmectomy, without further complications. Histological examination confirmed the presence of a thin myocardial wall with marked fibrosis and, consequently, the diagnosis of ventricular aneurysm. She was discharged clinically stable and maintains follow-up in Cardiology consultation of our Hospital. Conclusion In this patient, initially admitted with an anterior myocardial infarction submitted to primary PCI, follow-up with advanced imaging modalities pointed to the diagnosis of pseudoaneurysm. Despite the preoperative diagnosis, surgical findings were compatible with a giant left ventricular aneurysm. Even with high spatial resolution exams, postoperative evaluation of tissue layers remains the gold standard for this differential diagnosis. Abstract P871 Figure. Apical pseudoaneurysm vs aneurysm

scholarly journals Incidental diagnosis of a giant left ventricular pseudoaneurysm mimicking a double left ventricle

2019 ◽  
Vol 57 (3) ◽  
pp. 609-609
Author(s):  
Hiroyuki Seo ◽  
Hidekazu Hirai ◽  
Yasuo Suehiro ◽  
Shigefumi Suehiro
Keyword(s):  
Left Ventricle ◽  
Left Ventricular ◽  
Incidental Diagnosis ◽  
Left Ventricular Pseudoaneurysm

scholarly journals Short and Long Term Survival of Surgical Treatment of Left Ventricular Aneurysms. Ten Years Experience.

2002 ◽  
Vol 43 (4) ◽  
pp. 379-387 ◽  
Author(s):  
Ertan Ural ◽  
Hüsniye Yüksel ◽  
Seçkin Pehlivanoglu ◽  
Cihat Bakay ◽  
Rüstem Olga
Keyword(s):  
Surgical Treatment ◽  
Left Ventricular ◽  
Term Survival ◽  
Long Term Survival ◽  
Short And Long Term

Distensibility of the dog left ventricle

1961 ◽  
Vol 201 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Lloyd L. Hefner ◽  
H. Cecil Coghlan ◽  
William B. Jones ◽  
T. Joseph Reeves
Keyword(s):  
Left Ventricle ◽  
Diastolic Pressure ◽  
Left Ventricular ◽  
Filling Pressure ◽  
Inertial Effects ◽  
Ventricular Performance ◽  
Myocardial Wall ◽  
Slow Infusion

Left ventricular diastolic pressure-circumference curves were determined in 13 dogs, during stepwise hemorrhage and transfusion of blood. The linearity and small amount of scatter in the pressure-circumference curves obtained during control circumstances is evidence that elasticity rather than viscosity or inertia is the dominant determinant of the curve. Coincident with the slow infusion of epinephrine the distensibility increased. The importance of viscosity and inertial effects in the myocardial wall may also have increased, as evidenced by the increased scatter of the pressure-circumference graph. The magnitude of the change in distensibility observed was great enough to produce large changes in ventricular performance at a given filling pressure.

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