Volumoso Pseudoaneurisma do Ventrículo Esquerdo após Cirurgia Cardíaca

• Author(s): Pelicano, NJ ; Branco, LM ; Abreu, A ; Martins, S ; Abreu, J ; Matos, P ; Figueiredo, L ; Fragata, J ; Quininha, J
• Date: 2005
• Persistent ID: http://hdl.handle.net/10400.17/298
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): Idoso; Falso Aneurisma; Débito Cardíaco Baixo; Bypass da Artéria Coronária; Aneurisma Cardíaco; Ventrículos Cardíacos; Insuficiência da Válvula Mitral; Enfarte do Miocárdio; Reoperação; HSM CAR; HSM CCT
• Document Type: Article
• Language: Portuguese

Description

A 75-year old female patient, with previous inferior acute myocardial infarction (AMI) in December 2000, was admitted in April 2001 with angina and heart failure. Transthoracic echocardiography (TTE) was suggestive of a postero-inferior pseudoaneurysm (PA) of the left ventricle (LV), with 61x49 mm. of size and mitral regurgitation. Cardiac catheterization was suspected of a PA of the LV and revealed a three vessels coronary artery disease. On 20th April she was submitted to cardiac surgery with resection of a large LV aneurysm (AN) and triple coronary artery bypass surgery. Afterwards, she was on NYHA class III and subsequent TTE and transesophagic echocardiography (TEE) were suggestive of a 90x60 mm LV posterior PA (confirmed by nuclear magnetic resonance) and severe mitral regurgitation, with good LV systolic function. She underwent a new cardiac surgery on 31st May 2002, with resuturing of the LV postero-inferior wall patch and removal of the PA. The patient is in good condition and on NYHA functional class I-II.