Reborn from Danger: Success story in ventricular pseudoaneurysm repair, magnificent echocardiographic utility

Report of a case.

Authors

Keywords:

Ventricular pseudoaneurysm, iatrogenic complication after diagnostic biopsy, surgical correction of pseudoaneurysm

Abstract

"Reborn from Danger: Success Story in Ventricular Pseudoaneurysm Repair, magnificent echocardiographic utility." Clinical case report. Ventricular pseudoaneurysm or incomplete myocardial rupture that can produce a progressive hemorrhagic leak of blood escape to the mediastinum through a narrow area, said flow is contained by the pericardium, it is covered by thrombotic formations, it should be noted that the wall of this pseudoaneurysm does not contains myocardial wall. Which is influenced by various factors, among them we mention the adaptation capacity of the pericardium that determines the clinical outcome since acute cardiac tamponade or thromboembolic events could occur that can lead to death, the most frequent location of which is in the posterior area like ours. case that was posterobasal located compromising the interventricular septum. The case of a woman who comes to our hospital and enters the Coronary Care Unit due to congestive heart failure with a history of hospitalization in another hospital for suspected autoimmune disease is presented. Multiple diagnostic studies were performed, including a biopsy of the pleura and pericardium.

In echocardiographic control we evidenced the presence of a large pseudoaneurysm of the left ventricle (LV). The following review is of a clinical case, its echocardiographic diagnosis and corrective surgical treatment of this condition.

Author Biographies

Dra. María Sánchez Sánchez, Universidad de Guayaquil

Jefe de Unidad Coronaria Hospital de Especialidades Abel Gilbert Pontón.

Guayaquil – Ecuador

Dra. Cecilia Baquerizo Suárez, Universidad de Guayaquil

Médico postgradista de Cardiología, Universidad de Especialidades Espíritu Santo.

Guayaquil – Ecuador

Dr. Geovanny Mera Bravo , Universidad de Guayaquil

Cardiólogo, Servicio de Cardiología, Hospital Abel Gilbert Pontón

Guayaquil – Ecuador

Dr Alejandro Villar Inclan, Universidad de Guayaquil

Jefe del servicio de Cirugía Cardiovascular, Hospital de Luis Vernaza de la Junta de Beneficiencia de Guayaquil.

Guayaquil - Ecuador

References

Braunwald, Tratado de Cardiología, undécima edición, sección VII enfermedades cardiovasculares ateroscleróticas, capítulo 59 infarto de miocardio con elevación del segmento ST: tratamiento, pág. 1123

Roberts WC, Morrow AG. Pseudoaneurysm of the left ventricle: an unusual sequel of myocardial infarction and rupture of the heart. Am J Med. 1967;43:639- 44.

Moreno R, Gordillo E, Zamorano J, Almeria C, Garcia-Rubira JC, Fernandez-Ortiz A, et al. Long term outcome of patients with postinfarction ventricular pseudoaneurysm. Heart. 2003;89:1144-6.

Braunwald. Tratado de Cardiología, undécima edición, sección III evaluación del paciente, capítulo 14 ecocardiografía, pág. 174

Published

2024-03-03

How to Cite

Sánchez Sánchez, D. M., Baquerizo Suárez, D. C., Mera Bravo , D. G., & Villar Inclan, D. A. (2024). Reborn from Danger: Success story in ventricular pseudoaneurysm repair, magnificent echocardiographic utility: Report of a case. REVISTA DE LA FACULTAD DE CIENCIAS MÉDICAS, 5(1), 28–35. Retrieved from https://revistas.ug.edu.ec/index.php/fcm/article/view/361