Left ventricle perforation and pseudoaneurysm with an unusual presentation of a patient with stomach ache. Case report

A 49-year-old man admitted with a 3 weeks history of stomachache and without any cardiac symptoms and diagnosed as pseudoaneurysm of the left ventricle is reported. The repair was performed with the aid of cardiopulmonary bypass, defect was repaired with Gore-tex patch and myocardial tissues were ap...

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Bibliographic Details
Published inAnnali italiani di chirurgia Vol. 81; no. 1; p. 41
Main Authors Sirin, Bekir Hayrettin, Iskesen, Ihsan, Kurdal, Adnan Taner
Format Journal Article
LanguageEnglish
Published Italy 01.01.2010
Subjects
Aneurysm, False - complications
Aneurysm, False - diagnosis
Aneurysm, False - surgery
Heart Aneurysm - complications
Heart Aneurysm - diagnosis
Heart Aneurysm - surgery
Humans
Male
Middle Aged
Pain - etiology
Stomach
Ventricular Septal Rupture - complications
Ventricular Septal Rupture - diagnosis
Ventricular Septal Rupture - surgery
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Summary:A 49-year-old man admitted with a 3 weeks history of stomachache and without any cardiac symptoms and diagnosed as pseudoaneurysm of the left ventricle is reported. The repair was performed with the aid of cardiopulmonary bypass, defect was repaired with Gore-tex patch and myocardial tissues were approximated and closed by using two Teflon stripes. BioGlue was applied on the sutures and between the stripes. We report this unusual case because rarity and high clinical index of suspicion is needed to make correct diagnosis in such patients. Although there is a significantly high mortality of the pseudoaneurysm cases their repair can and should be performed as an urgent procedure.
ISSN:0003-469X