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Ann Thorac Surg 1997;64:830-831
© 1997 The Society of Thoracic Surgeons

Case Report

Posttraumatic Left Ventricular Pseudoaneurysm Due to Intramyocardial Dissecting Hematoma

Daniele Maselli, MD, Ezio Micalizzi, MD, Raffaella Pizio, MD, Andrea Audo, MD, Carlo De Gasperis, MD

Department of Cardiac Surgery, Ospedale Maggiore della Carità, Novara, Italy

Accepted for publication March 29, 1997.

A left ventricular aneurysm can develop in patients sustaining blunt chest injury. This condition has been attributed to myocardial contusion or to a direct vascular lesion leading to myocardial necrosis. We report the case of a pseudoaneurysm resulting from myocardial dissection beginning from a small tear in the endocardial wall. Successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure of the communications between the aneurysm and the left ventricular cavity is described.




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