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Ann Thorac Surg 1980;29:474-477
© 1980 The Society of Thoracic Surgeons

Articles

Ventricular Aneurysm: False or True? An Important Distinction

Ian D. Malcolm, M.D.*, David H. Fitchett, M.B., Duncan Stewart, M.D., Derek Marpole, M.D., James Symes, M.D.

Departments of Cardiology and Cardiovascular and Thoracic Surgery, Royal Victoria Hospital, McGill University, Montreal, Que, Canada

Accepted for publication August 7, 1979.

* Address reprint requests to Dr. Malcolm, Department of Cardiology, Royal Victoria Hospital, 687 Pine Ave W, Montreal, Que, Canada H3A 1A1

A case of ventricular false aneurysm with the typical clinical, radiological, electrocardiographic, and angiographic features of this entity is presented. The distinction between false ventricular aneurysm and true aneurysm is discussed. This distinction is important because of the propensity of false aneurysms to rupture. An early diastolic murmur was present prior to, but not after, resection of the aneurysmal sac. A theory as to the origin of this murmur is offered.




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