Tamponade by an expanding left ventricular pseudoaneurysm: A unique presentation

Balakrishnan Mahesh; Ping Ong; Ramesh Kutty; Yasir Abu-Omar

doi:10.1177/0218492314530135

Tamponade by an expanding left ventricular pseudoaneurysm: A unique presentation

Asian Cardiovasc Thorac Ann. 2015 Oct;23(8):976-8. doi: 10.1177/0218492314530135. Epub 2014 Apr 1.

Authors

Balakrishnan Mahesh¹, Ping Ong², Ramesh Kutty², Yasir Abu-Omar²

Affiliations

¹ Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK b.mahesh@nhs.net.
² Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.

PMID: 24692597
DOI: 10.1177/0218492314530135

Abstract

Left ventricular free wall rupture secondary to myocardial infarction is an uncommon but catastrophic event requiring emergency surgery. We describe a unique presentation of left ventricular free wall rupture as delayed tamponade caused by a gradually expanding pseudoaneurysm compressing the left atrium, leading to pulmonary congestion that required increasing respiratory support to maintain oxygenation, and necessitated emergency surgery. We discuss the options available to treat pseudoaneurysms due to left ventricular free wall rupture.

Keywords: Pseudo-aneurysm; cardiac tamponade; left ventricular; myocardial infarction; rupture.

Publication types

Case Reports

MeSH terms

Adult
Aneurysm, False / diagnosis
Aneurysm, False / etiology*
Aneurysm, False / surgery
Aneurysm, Ruptured / diagnosis
Aneurysm, Ruptured / etiology*
Aneurysm, Ruptured / surgery
Cardiac Surgical Procedures
Cardiac Tamponade / diagnosis
Cardiac Tamponade / etiology*
Cardiac Tamponade / surgery
Echocardiography, Doppler, Color
Emergencies
Heart Aneurysm / diagnosis
Heart Aneurysm / etiology*
Heart Aneurysm / surgery
Heart Rupture, Post-Infarction / diagnosis
Heart Rupture, Post-Infarction / etiology*
Heart Rupture, Post-Infarction / surgery
Humans
Male
Myocardial Infarction / complications*
Myocardial Infarction / diagnosis
Treatment Outcome