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Daniele Maselli
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Ann Thorac Surg 2001;71:1358-1360
© 2001 The Society of Thoracic Surgeons

Case report

Septal dissection and rupture evolved as an inferobasal pseudoaneurysm

Isidoro Di Bella, MDa, Gaetano Minzioni, MDa, Daniele Maselli, MDa, Stefano Pasquino, MDa, Mario Viganò, MDa

a Division of Cardiac Surgery, Policlinico San Matteo, IRCCS University of Pavia, Pavia, Italy

Accepted for publication April 12, 2000.

Address reprint requests to Dr Di Bella, Divisione di Cardiochirurgia, Policlinico San Matteo, Piazzale Golgi 2, Pavia 17100 Italy

We report two cases of postinfarction dissecting hematoma of the interventricular septum with restrictive ventricular septal defect that evolved as an inferobasal pseudoaneurysm. The difficult anatomical pattern was assessed by two-dimensional (2-D) echocardiography with Doppler and color analysis, left ventriculography and perioperative transoesophageal echo. Because the patient had no signs of heart failure, the surgical repair was successfully delayed until the dissecting tissue became fibrotic. Problems of diagnosis, decision making and surgical management are discussed.




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 Ann. Thorac. Surg.Home page
M. Drago, G. Butera, A. Giamberti, M. Lucente, and A. Frigiola
Interventricular Septal Hematoma in Ventricular Septal Defect Patch Closure
Ann. Thorac. Surg., May 1, 2005; 79(5): 1764 - 1765.
[Abstract] [Full Text] [PDF]


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