Abstract
We experienced a rare case of ruptured left ventricular pseudoaneurysm penetrating into the left pleural cavity. A 77-year-old woman was first diagnosed with unstable angina due to sudden chest pain onset and abnormal electrocardiographic findings. In 2 days, massive left pleural effusion was recognized by chest X-ray, though subsequent computed tomographic scans did not show any aortic pathology. We observed her with left thoracentesis alone. Two days later, cardiac arrest suddenly occurred and emergency surgery was undertaken after resuscitation by percutaneous cardiopulmonary support. In surgery, a moderate amount of intrapericardial hematoma caused by rupture of a left ventricular pseudoaneurysm penetrating into the left pleural cavity was found and successfully repaired. This rare rupture of a left ventricular pseudoaneurysm penetrating into the left pleural cavity generated massive hemo-hydrothorax.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kirklin JW, Barratt-Boyes BG. Left ventricular aneurysm. In: Kirklin JW, Barratt-Boyes BG, eds. Cardiac Surgery, 2nd ed. New York: Churchill Livingstone Inc, 1993; 383–402.
Pretre R, Linka A, Jenni R, Turina MI. Surgical treatment of acquired left ventricular pseudoaneurysms. Ann Thorac Surg 2000; 70: 553–7.
Inoue T, Sunagawa O, Tohma T, Shinzato Y, Fukiyama K, et al. Apical hypertrophic cardiomyopathy followed by midventricular obstruction and apical aneurysm: a case report. J Cardiol 1999; 33: 217–22.
Akutsu Y, Shinozuka A, Huang TY, Watanabe T, Yamada T, Yamanaka H, et al. Hypertrophic cardiomyopathy with apical left ventricular aneurysm. Jpn Circ J 1998; 62: 127–31.
Barbaresi F, Longhini C, Brunazzi C, Caneva M, Cotogni A, Musacci GF, et al. Idiopathic apical left ventricular aneurysm in hypertrophic cardiomyopathy Report of 3 cases, and review of the literature. Jpn Heart J 1985; 26: 481–94.
Kadri MA, Kakadellis J, Campbell CS. Survival after postinfarction cardiac rupture in severe aortic valve stenosis. Eur Heart J 1994; 15: 140–2.
Connery CP, Dumont HJ, Dervan JP, Hartman AR, Anagnostopoulos CE, et al. Transmural myocardial infarction with coexisting critical aortic stenosis as an etiology for early myocardial rupture. J Cardiovasc Surg 1994; 35: 53–6.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hamamoto, M., Ogino, H., Hanafusa, Y. et al. Ruptured left ventricular pseudoaneurysm penetrating into the left pleural cavity. Jpn J Thorac Cardiovasc Surg 49, 581–583 (2001). https://doi.org/10.1007/BF02913536
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02913536