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Pseudo-aneurisma de ventrículo esquerdo por rotura cardíaca após infarto agudo do miocárdio: tratamento cirúrgico

The postinfarction pseudoaneurysm of the left ventricle is a rare entity. When diagnosed it surgery is necessary, as soon as possible, due to the increased risk of rupture of its wall. During November 1992 to June 1995 three patients were sent to our Hospital with a clinical diagnosis of pseudoaneurysm of the left ventricle. They showed clinical, radiological, echocardiographic and angiographic signs characteristic of this pathology. Our objective is to discuss the diagnosis, surgical indication techniques, complications and surgical results. All patients were submitted to transthoracic echodopplercardiogram and it was enough for the diagnosis. After the realization of angiography and ventriculography the patients were submitted to surgery to correct the pseudoaneurysm using bovine pericardium. One patient showed an interventricular communication that was also corrected during the same operation. All patients were discharged in good condition with echocardiogram showing complete correction of the pseudoaneurysm.

Aneyrysm; Heart rupture; Heart ventricle; Heart aneurysm; Aneurysm


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