Unusual symptom in patient with pseudoaneurysm of the left ventricle and review of the literature.

A case of pseudoaneurysm developing 2 years after left ventricular aneurysmectomy and single coronary artery bypass graft is reported. A hypothesis that pseudoaneurysms developing after transmyocardial incision begin in surgery or shortly thereafter is postulated. Chest X-ray films as a preliminary test to direct attention to the diagnosis are recommended. An aggressive surgical approach is suggested. To our knowledge, this is the sixth known reported case in the literature with hemoptysis as the chief symptomatic feature.

[1]  N. Mills,et al.  Delayed pulmonary complications of ventricular aneurysm repair. Report of two cases and review of the literature. , 1981, Journal of Thoracic and Cardiovascular Surgery.

[2]  R. Dibianco,et al.  Noninvasive diagnosis of left ventricular pseudoaneurysm: role of two dimensional echocardiography and radionuclide gated pool imaging. , 1979, The American journal of cardiology.

[3]  J. C. Smith,et al.  False aneurysm of the left ventricle. Report of four cases and review of surgical management. , 1979, Annals of surgery.

[4]  T. Ryan,et al.  Left ventricular false aneurysm after coronary bypass surgery: radionuclide diagnosis and surgical resection. , 1979, The American journal of cardiology.

[5]  M. Fishbein,et al.  Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. Review of the literature. , 1977, Annals of internal medicine.

[6]  S. Saab,et al.  True and false aneurysms of the left ventricle following myocardial infarction. , 1977, The American journal of medicine.

[7]  W. P. Hodd,et al.  Pulmonary arterial compression syndrome caused by false aneurysm of left ventricular outflow tract. , 1976, The American journal of cardiology.

[8]  E. Botvinick,et al.  Noninvasive diagnosis of a false left ventricular aneurysm with radioisotope gated cardiac blood pool imaging. Differentiation from true aneurysm. , 1976, The American journal of cardiology.

[9]  J. Roelandt,et al.  Echocardiographic Diagnosis of Pseudoaneurysm of the Left Ventricle , 1975, Circulation.

[10]  A. Hagan,et al.  Pseudomitral regurgitation due to false aneurysm of the left ventricle treated successfully by surgery. , 1974, Chest.

[11]  M. Fadali,et al.  Surgical treatment of post infarction left ventricular pseudoaneurysm. , 1974, The Journal of cardiovascular surgery.

[12]  J. Edwards,et al.  Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. , 1972, Chest.

[13]  V. Vix,et al.  Traumatic pseudoaneurysm of the left ventricle. , 1968, The American journal of roentgenology, radium therapy, and nuclear medicine.

[14]  W. Bross.  Pseudoaneurysm of the heart following cardiotomy for total correction of tetralogy of Fallot. , 1967, The Journal of cardiovascular surgery.

[15]  F. O U N D E D B Y R I C H A,et al.  Weekly clinicopathological exercises. , 1967, The New England journal of medicine.

[16]  J. Edwards,et al.  The Spectrum of Coronary Heart Disease in a Community of 30,000: A Clinicopathologic Study , 1962, Circulation.

[17]  K. P. Clearkin,et al.  Rare Cardiac Aneurysm in a Young Adult , 1955, Thorax.

[18]  H. Hellerstein,et al.  ANEURYSM OF THE HEART: A CORRELATIVE STUDY OF ONE HUNDRED AND TWO PROVED CASES , 1954, Medicine.

[19]  J. Higginson,et al.  An Unusual Cardiac Aneurysm in a Young Adult , 1951, Journal of clinical pathology.

[20]  J. Crawford,et al.  Rare cardiac aneurysm in a child , 1943 .