[en] A 85 years old patient was hospitalized because of thoracic pain, lasting since three months. He suffered of Parkinson's disease and he was a smoker. The pain increased with cough and Vansalva's test. His left arm was cianotic. An arterial obstruction was suspected. Dopler ultrasound of the left arm confirmed a partial obstruction of the left axillar artery. Surprisingly, thoracic scan and MRI found an important cardiomegaly. The heart was in contact with the diaphragmatic and gastric region. Ecocardiography confirmed a 7 cm pseudo aneurysm of the left ventricle. Coronarography showed extreme hypokinesia of the left ventricle. There was also an obstruction of the right coronary and 50 % stenosis of the left coronary. Pseudo aneurysm was a complication of myocardial infarction of the left ventricle. Surgery was offered to the patient, but he declined the intervention. He was dismissed with medical treatment and anticoagulation. The patient deceased three months later.
Disciplines :
General & internal medicine
Author, co-author :
Olivieri, E.
Guessaghi, R.
Chavin, A.
Diaz Fuenzalida, A.
VALDES SOCIN, Hernan Gonzalo ; Hospital de Clinicas "Jose de San Martin",Universidad de Buenos AIres > Departamento de Medicina Interna > V Catedra de Medicina Interna
Duhart, J. E.; Hospital de Clinicas Jose de San Martin > Medicina Interna
HIRAI, T.; FUJITA, M.; NAKAJIMA, H. et al.: Importance of collateral circulation for prevention of left ventricular aneurysm formation in acute myocardial infarction. Circulation. 1989; 79: 791.
BRAUNWALD, E.: Tratado de Cardiología. Editorial Interamericana. Mc Graw-Hill. 4a Edición. Vol. I Pág. 301; 1993.
CODINI, A. M.; RUGGIE, N. T.; MARSHALL, G. D.; MESSER, J. V.; NAJAFI, H.: Diafragmatic left ventricular aneurysm clinical failures, surgical treatment and long term follow up in 22 patients. Arch. Intern. Med. 1982; 142: 711-714.
BUEHLER, D. L.; STINSON, E. B.; DYER, P. E.; SHUMWAY, N. E.: Surgical treatment of aneurysms of the inferior left ventricular wall. J. Thorac. Cardiovasc. Surg. 79: 74-78.
AMIDI, M.; ROYAL, S.; CURTISS, E,.; PUSKER, M.: Natural history of posterobasal left ventricular aneurysm. Am. J. Cardiol. 1990; 66: 1261-1262.
EDWARDS, J. E. an Atlas of Acquired Diseases of the Heart and Great Vessels. Philadelfia. W. B. Saunders, 1961, Vol. II: 615-629.
PHARES, W. S.; EDWARDS, J. E.; BURCHELL, H. B.: Cardiac aneurysms: clinicopathologic studies. Staf Meetings Mayo Clin. 1953; 28: 264-271.
CABIN, H. S.; ROBERTS, W. C.: True left ventricular aneurysm and healed myocardial infarction. Am. J. Cardiol. 1980; 46: 754-763.
GORLIN, R.; KLEIN, M. D.; SULLIVAN, J. M.: Prospective correlative study of ventricular aneurysm: mechanistic concept and clinical recognition. Am. J. Med. 1967; 42: 512-531.
LEFEMINE, A. A.; GOVINDARAJAN, R.; RAMASWAMY, K.; BLACK, H.; MADOFF, I.; ZANELLA, N.: Left ventricular wall resection ofr aneurysm and akinesia due to coronary artery disease: fifty consecutive patients. Ann. Thorac. Surg. 1977; 23: 461-466.
LEE, D. C.S.; JOHNSON, R. A.; BOUCHER, C. A.; WEXLER, L. F.; MC ENAMY, M. T.: Angiographic predictors of survival following left ventricular aneurysmectomy. Circulation 1977; 56 (suppl. II): II-12-11-18.
FAVALORO, R. G.; EFFLER, D. B.; GROVES, L. K.; WESTCOTT, R. N.; SUAREZ, E.; LOZADA, J.: Ventricular aneurysm-clinical experience. Ann. Thorac. Surg. 1968; 6: 227-243.
VAUTHEY, J. N.; BERRY, D. W.; GILMORE, J. C.; SUNDGAARD-RIISE, K.; MILLS, N. L; OCHSNER, J. L: Left ventricular aneurysm repair with myocardial revascularization: an analysis of 246 consecutive patients over 15 years. Ann. Thorac. Surg. 1988; 46: 29-35.
HAMMER, D. H.; LINDSAY, J. Jr.: Redefining true ventricular aneurysm. Am. J. Cardiol. 1989; 64: 1192-1194.
COHEN, D. E.; VOGEL, R. A.: Left ventricular aneurysm as a coronary risk factor independent of overall left ventricular function. Am. Heart. J. 1986; 111:23-30.
ALEXOPOULOS, D.; HOROWITZ, S. F.; MACARIHINSON M. M.; SLATER, W.; SCHLEIFER, S. J.; O'HARA, M.; GORLIN, R.: Left ventricular aneurysm and prognosis after first anterior wall acute myocardial infarction. Am. J. Cardiol. 1989; 63: 362-364.
FAXON, D. O.; RYAN, T. J.; DAVIS, K. B.; MC CABE, C. H.; MYERS, W.; LESPERANCE, J.; SHAW R.; LONG, T.G.L.: Prognostic significance of angiographically documented left ventricular aneurysm from the coronary artery surgery study (CASS). Am. J. Cardiol. 1982; 50: 157-164.
HASSAPOYANNES, C. A.; STUCK, L. M.; HORNUNG, C. A.; SERBIN, M. C.; FLOWERS, N. C.: Effect of left ventricular aneurysm of risk of sudden and nonsudden cardiac death. Am. J. Cardiol. 1991; 67: 454-459.
VISSER, C. E.; KAN, G.; MELTZER, R. S. et al.: Incidence, timing and prognostic value of left ventricular aneurysm formation after myocardial infarction: A prospective serial echocardiographic study of 158 patients. Am. J. Cardiol. 1986; 57: 729.
Similar publications
Sorry the service is unavailable at the moment. Please try again later.
This website uses cookies to improve user experience. Read more
Save & Close
Accept all
Decline all
Show detailsHide details
Cookie declaration
About cookies
Strictly necessary
Performance
Strictly necessary cookies allow core website functionality such as user login and account management. The website cannot be used properly without strictly necessary cookies.
This cookie is used by Cookie-Script.com service to remember visitor cookie consent preferences. It is necessary for Cookie-Script.com cookie banner to work properly.
Performance cookies are used to see how visitors use the website, eg. analytics cookies. Those cookies cannot be used to directly identify a certain visitor.
Used to store the attribution information, the referrer initially used to visit the website
Cookies are small text files that are placed on your computer by websites that you visit. Websites use cookies to help users navigate efficiently and perform certain functions. Cookies that are required for the website to operate properly are allowed to be set without your permission. All other cookies need to be approved before they can be set in the browser.
You can change your consent to cookie usage at any time on our Privacy Policy page.