Successful surgical repair of left ventricular pseudoaneurysm in a patient with subacute ST-elevation myocardial infarction

https://doi.org/10.4081/monaldi.2021.2016

Authors

  • Rosangela Cocchia Cardiology Unit, Internal Medicine Department, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0002-7640-6272
  • Gabriele Iannelli Division of Cardiac Surgery, Department of Advanced Medical Sciences, University of Naples “Federico II”, Naples, Italy.
  • Valentina Capone Cardiology Unit, Internal Medicine Department, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0002-0080-9948
  • Salvatore Chianese Cardiology Unit, Internal Medicine Department, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0003-4732-6860
  • Giuseppina Langella Division of Cardiac Surgery, Department of Advanced Medical Sciences, University of Naples “Federico II”, Naples, Italy. https://orcid.org/0000-0003-4510-7488
  • Brigida Ranieri Imaging Department, IRCCS SDN, Naples, Italy. https://orcid.org/0000-0003-4880-5679
  • Massimo Majolo Health Management Office, Department of Strategic Services in the Medical Area, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0002-3643-9272
  • Giuseppe Russo Health Management Office, Department of Strategic Services in the Medical Area, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0002-3643-9272
  • Emanuele Pilato Division of Cardiac Surgery, Department of Advanced Medical Sciences, University of Naples “Federico II”, Naples, Italy. https://orcid.org/0000-0003-0989-7048
  • Ciro Mauro Cardiology Unit, Internal Medicine Department, Antonio Cardarelli Hospital, Naples, Italy.
  • Eduardo Bossone | ebossone@hotmail.com Cardiology Unit, Internal Medicine Department, Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0003-2769-9950

Abstract

We report a successful surgical repair of left ventricular pseudoaneurysm in a patient with subacute ST-elevation myocardial infarction (STEMI). In the case of expansion of the infarct related ventricular wall, early (within 24 hours) or late (3-5 days after STEMI) cardiac rupture should be always borne in mind in order to proceed to life saving prompt surgical repair.

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References

Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). J Am Coll Cardiol 2004;44:671-719.

Ibanez B, James S, Agewall S, et al.. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018;39:119-77.

Wong GC, Welsford M, Ainsworth C, et al. 2019 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Guidelines on the Acute Management of ST-Elevation Myocardial Infarction: Focused Update on Regionalization and Reperfusion. Can J Cardiol 2019;35:107-32.

Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol 1998;32:557-61.

McMullan MH, Maples MD, Kilgore TL Jr, Hindman SH. Surgical experience with left ventricular free wall rupture. Ann Thorac Surg 2001;71:1894-8; discussion 1898-9.

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Published
2021-09-24
Info
Issue
Section
Cardiology - Case Reports
Keywords:
left ventricular pseudoaneurysm, surgical repair, STEMI
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  • PDF: 22
How to Cite
Cocchia, Rosangela, Gabriele Iannelli, Valentina Capone, Salvatore Chianese, Giuseppina Langella, Brigida Ranieri, Massimo Majolo, Giuseppe Russo, Emanuele Pilato, Ciro Mauro, and Eduardo Bossone. 2021. “Successful Surgical Repair of Left Ventricular Pseudoaneurysm in a Patient With Subacute ST-Elevation Myocardial Infarction”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2021.2016.

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