TY - JOUR AU - Perek, Bartlomiej AU - Jemielity, Marek AU - Dyszkiewicz, Wojciech PY - 2005/01/04 Y2 - 2024/03/19 TI - Clinical Profile and Outcome of Patients with Chronic Postinfarction Left Ventricular False Aneurysm Treated Surgically JF - The Heart Surgery Forum JA - HSF VL - 7 IS - 2 SE - DO - 10.1532/hsf.1208 UR - https://journal.hsforum.com/index.php/HSF/article/view/1208 SP - E132-E135 AB - <P>Background: Rupture of the left ventricular (LV) free wall is usually fatal. In rare instances, hemorrhage is confined, and a false aneurysm (pseudoaneurysm) forms. In this study we reviewed our experience with patients treated surgically for chronic LV pseudoaneurysm. </P><P>Methods: Between 1997 and 2001, pseudoaneurysm was diagnosed in 8 patients (6 men and 2 women) 55.9 ± 7.6 years of age, and the patients underwent surgery. Before operation electrocardiogram (ECG), chest x-ray, echocardiography, and cardiac catheterization were performed. Repair was accomplished by resection of the pseudoaneurysm with use of cardiopulmonary bypass and in moderate systemic hypothermia (263C-283C). In 3 cases coronary artery bypass grafts were implanted, and in another a postinfarction ventricular septal rupture was closed. </P><P>Results: Before operation, 4 (50.0%) of the patients had congestive heart failure, 2 patients had unstable angina, and 2 were relatively asymptomatic. Six patients had ECG abnormalities (signs of myocardial infarction, persistent ST elevation). On chest x-ray 5 patients had cardiomegaly, and 2 of them had pulmonary edema. The definite diagnosis was established before operation in 7 patients and during the procedure in 1 patient. All patients survived operation, and none needed reoperation. An intraaortic balloon pump was used in 1 case. The postoperative courses of the other patients were uncomplicated. At the end of follow-up (mean, 31.0 ± 12.4 months) all patients were alive in New York Heart Association functional class I (6 patients) or II (2 patients). </P><P>Conclusion: The clinical presentation of chronic pseudoaneurysm often is nonspecific. The results of surgical treatment of chronic LV pseudoaneurysm are satisfactory.</P> ER -