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Impending Rupture of a Blunt Trauma-Induced Left Ventricular Aneurysm: Report of a Case

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Abstract

Most left ventricular true aneurysms that occur secondary to blunt trauma gradually become symptomatic as they enlarge, which validates conservative management as a reasonable initial course of action. We report a case of impending rupture of a left ventricular true aneurysm that showed rapid expansion within a few weeks. A 17-year-old youth was involved in a head-on collision into a car while riding a motorcycle. He underwent repair of a ruptured jejunum and internal fixation of a fractured femur; 28 days after the accident, he was transferred to another hospital for rehabilitation. His chest X-ray just before the transfer was normal. He was re-admitted to our hospital 58 days after the accident complaining of anterior chest pain and dyspnea. Echocardiography showed impending rupture of a left ventricular aneurysm. We performed emergency open repair of a left ventricular true aneurysm with a very thin wall. We report this case to show that even a true aneurysm of the left ventricle should be carefully monitored from the early stage, considering the possibility of rupture.

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References

  1. JE Adams SuffixIII GS Bodor VG Davila-Roman JA Delmez FS Apple JH Ladenson et al. (1993) ArticleTitleCardiac troponin I: a marker with high specificity for cardiac injury Circulation 88 101–6 Occurrence Handle8319322

    PubMed  Google Scholar 

  2. G Arcudi D Marchetti (1996) ArticleTitleLeft ventricular aneurysm caused by blunt chest trauma Am J Forensic Med Pathol 17 194–6 Occurrence Handle8870867 Occurrence Handle10.1097/00000433-199609000-00003 Occurrence Handle1:STN:280:ByiD38vmtl0%3D

    Article  PubMed  CAS  Google Scholar 

  3. JP Veinot V Acharya (2001) ArticleTitlePost-traumatic left ventricular false aneurysm J Forensic Sci 46 396–8 Occurrence Handle11305450 Occurrence Handle1:STN:280:DC%2BD3M3js1amsg%3D%3D

    PubMed  CAS  Google Scholar 

  4. DP Faxon TJ Ryan KB Davis CH McCabe W Myers J Lesperance et al. (1982) ArticleTitlePrognostic significance of angiographically documented left ventricular aneurysm from the coronary artery surgery study (CASS) Am J Cardiol 50 157–64 Occurrence Handle6979918 Occurrence Handle10.1016/0002-9149(82)90023-6 Occurrence Handle1:STN:280:Bi2B38jksFc%3D

    Article  PubMed  CAS  Google Scholar 

  5. DA Killen WG Gobbel R France VA Vix (1969) ArticleTitlePost-traumatic aneurysm of the left ventricle Circulation 39 101–8 Occurrence Handle5782797 Occurrence Handle1:STN:280:CCaD28jmvFU%3D

    PubMed  CAS  Google Scholar 

  6. L Lukacs T Lonyai (1978) ArticleTitleSuccessful repair of left ventricular aneurysm due to blunt trauma: a case report J Cardiovasc Surg (Torino) 19 407–10 Occurrence Handle1:STN:280:CSeB2c3ks1E%3D

    CAS  Google Scholar 

  7. DL Stone HA Fleming (1983) ArticleTitleAneurysm of left ventricle and left coronary artery after non-penetrating chest trauma Br Heart J 50 495–7 Occurrence Handle6639821 Occurrence Handle10.1136/hrt.50.5.495 Occurrence Handle1:STN:280:BiuD2MzgtlE%3D

    Article  PubMed  CAS  Google Scholar 

  8. RS Veeragandham CL Backer C Mavroudis AD Wilson (1998) ArticleTitleTraumatic left ventricular aneurysm and tricuspid insufficiency in a child Ann Thorac Surg 66 247–8 Occurrence Handle9692475 Occurrence Handle10.1016/S0003-4975(98)00380-4 Occurrence Handle1:STN:280:DyaK1czlsFajsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. EF Bright CS Beck (1935) ArticleTitleNonpenetrating wounds of the heart: a clinical and experimental study Am Heart J 10 293–321 Occurrence Handle10.1016/S0002-8703(35)90312-X

    Article  Google Scholar 

  10. C Lyons R Perkins (1958) ArticleTitleResection of left ventricular aneurysm secondary to cardiac stab wound Ann Surg 147 256 Occurrence Handle13498649 Occurrence Handle10.1097/00000658-195802000-00017 Occurrence Handle1:STN:280:CyeD2c7ktFY%3D

    Article  PubMed  CAS  Google Scholar 

  11. DF Pupello (1970) ArticleTitleSuccessful repair of left ventricular aneurysm due to trauma JAMA 211 826–7 Occurrence Handle5536570 Occurrence Handle10.1001/jama.211.5.826 Occurrence Handle1:STN:280:CS6D2c%2Fgsl0%3D

    Article  PubMed  CAS  Google Scholar 

  12. HA Berkoff (1977) ArticleTitleAsymptomatic left ventricular aneurysm Circulation 55 545–8 Occurrence Handle837491 Occurrence Handle1:STN:280:CSiC3MvksVw%3D

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Traumatology and Critical Care Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, Sapporo, 060-8543, Japan

    Yasufumi Asai & Yoshihiko Kurimoto

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  1. Yasufumi Asai
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  2. Yoshihiko Kurimoto
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Asai, Y., Kurimoto, Y. Impending Rupture of a Blunt Trauma-Induced Left Ventricular Aneurysm: Report of a Case. Surg Today 37, 971–973 (2007). https://doi.org/10.1007/s00595-007-3522-8

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  • DOI: https://doi.org/10.1007/s00595-007-3522-8

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