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Ann Thorac Surg 1989;47:322-329
© 1989 The Society of Thoracic Surgeons

Articles

Ventricular aneurysm due to blunt chest injury

J.G. Grieco, MD*, A. Montoya, MD, H.J. Sullivan, MD, M. Bakhos, MD, B.K. Foy, MD, B. Blakeman, MD, R. Pifarré, MD

Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois, USA

* Address reprint requests to Dr Grieco, Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153.

A left ventricular aneurysm developed in 3 patients sustaining blunt chest injury. Evidence of an acute myocardial infarction on the electrocardiogram and enzyme analysis prompted cardiac catheterization, which revealed total occlusion of the left anterior descending coronary artery in 2 of the 3 patients. Ventricular aneurysmectomy was performed in each patient. A review of the literature revealed 32 previously reported patients with left ventricular aneurysm caused by blunt trauma. Clinical features, catheterization or autopsy findings, and outcome are examined.




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