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Hämolytische Anämie bei stummer gedeckter Perforation der linksventrikulären Vorderwand nach Stent-Thrombose

Hemolytic anemia due to silent left ventricular rupture after stent thrombosis

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Zusammenfassung

Eine 51-jährige Patientin mit bekannter ischämischer Kardyomyopathie stellte sich zur Abklärung einer leichten Anämie beim Hausarzt vor. Eine routinemäßig durchgeführte Computertomographie des Abdomens erbrachte den Verdacht auf intrakardiale Thromben. Die nachfolgenden kardiologischen Untersuchungen zeigten dann ein Pseudoaneurysma des linken Ventrikels als Folge der stummen Ruptur des vorbestehenden septoapikalen linksventrikulären Aneurysmas.

Abstract

A 51-year-old woman with known ischemic cardiomyopathy presented to the family doctor for investigation of mild anemia. A routinely performed computed tomography of the abdomen resulted in the suspicion of intracardiac thrombi. The subsequent cardiac examinations showed a pseudoaneurysm of the left ventricle as a result of a silent rupture of a pre-existing left ventricular aneurysm.

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Literatur

  1. Frances C, Romero A, Grady D (1998) Left ventricular pseudoaneurysm. J Am Coll Cardiol 32:557–561

    Article  PubMed  CAS  Google Scholar 

  2. Vlodaver Z, Coe JI, Edwards JE (1975) True and false left ventricular aneurysms. Propensity for the latter to rupture. Circulation 51:567–572

    Article  PubMed  CAS  Google Scholar 

  3. Van Tassel RA, Edwards JE (1972) Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. Chest 61:104–116

    Article  Google Scholar 

  4. Davidson KH, Parisi AF, Harrington JJ et al (1977) Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. Review of the literature. Ann Intern Med 86:430–433

    Article  PubMed  CAS  Google Scholar 

  5. Yeo TC, Malouf JF, Oh JK, Seward JB (1998) Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med 128:299

    Article  PubMed  CAS  Google Scholar 

  6. Bolooki H (1990) Surgical treatment of complications of acute myocardial infarction. JAMA 263:1237

    Article  PubMed  CAS  Google Scholar 

  7. Komeda M, David TE (1993) Surgical treatment of postinfarction false aneurysm of the left ventricle. J Thorac Cardiovasc Surg 106:1189

    PubMed  CAS  Google Scholar 

  8. Kupari M, Verkkala K, Maamies T et al (1987) Value of combined cross sectional and Doppler echocardiography in the detection of left ventricular pseudoaneurysm after mitral valve replacement. Br Heart J 58:52

    Article  PubMed  CAS  Google Scholar 

  9. Konen E, Merchant N, Gutierrez C et al (2005) True versus false left ventricular aneurysm: differentiation with MR imaging – initial experience. Radiology 236:65

    Article  PubMed  Google Scholar 

  10. Kerkhoff GO, Hofs C, Roer N et al (2004) Images in cardiovascular medicine. Left ventricular pseudoaneurysm: clinical role of cardiovascular magnetic resonance imaging. Circulation 109:e222

    Article  PubMed  CAS  Google Scholar 

  11. al-Saadon K, Walley VM, Green M et al (1995) Angiographic diagnosis of true and false LV aneurysms after inferior wall myocardial infarction. Cathet Cardiovasc Diagn 35:266

    Article  PubMed  CAS  Google Scholar 

  12. Vignati G, Bruschi G, Mauri L et al (2009) Percutaneous device closure of iatrogenic left ventricular wall pseudoaneurysm. Ann Thorac Surg 88:31–33

    Article  Google Scholar 

  13. Yoo D, Robertson G, Block P et al (2011) Percutaneous closure of a left atrial appendage pseudoaneurysm. J Am Soc Echocardiogr 24:109.e101–109.e103

    PubMed  Google Scholar 

  14. Dudiy Y, Jelnin V, Einhorn BN et al (2011) Percutaneous closure of left ventricular pseudoaneurysm. Circ Cardiovasc Interv 4:322–326

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Kardiologie, Evangelisches Krankenhaus Mülheim, Wertgasse 30, 45468, Mülheim an der Ruhr, Deutschland

    A. Krapivsky,  T. Altilar, C. Vockelmann & F. Niroomand

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  1. A. Krapivsky
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  2. T. Altilar
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  3. C. Vockelmann
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  4. F. Niroomand
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Correspondence to T. Altilar.

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Krapivsky, A., Altilar, T., Vockelmann, C. et al. Hämolytische Anämie bei stummer gedeckter Perforation der linksventrikulären Vorderwand nach Stent-Thrombose. Herz 38, 636–638 (2013). https://doi.org/10.1007/s00059-012-3717-7

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  • DOI: https://doi.org/10.1007/s00059-012-3717-7

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