A 68 year old man had a diaphragmatic myocardial infarction and 9 months later was admitted with severe congestive heart failure (functional class IV). Cardiac catheterization demonstrated a postinfarction pseudoaneurysm. Because of a massive left to right shunt (pulmonary to systemic flow ratio = 2.7), concomitant rupture of the ventricular septum was suspected. At surgery the pseudoaneurysm communicated with the right ventricle through two different orifices and with the left ventricle through another ostium. The ventricular septum was intact. Therefore, the shunt was extracardiac through the pseudoaneurysm (left ventricle----pseudoaneurysm----right ventricle). The unique combination of lesions allowed the patient to survive. The false aneurysm was excised and primary repair was performed in the orifices of the right and left ventricular walls. The postoperative course was uneventful and 10 months later the patient was in functional class I.

EXTRACARDIAC LEFT TO RIGHT SHUNT IN A PATIENT WITH BIVENTRICULAR POSTINFARCTION RUPTURE AND PSEUDOANEURYSM / Luigi, Chiariello; Macrina, Francesco; Quintilio, Caretta; F. S., Cattolica; Papalia, Ugo; Benedetto, Marino. - In: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. - ISSN 0735-1097. - 6:1(1985), pp. 246-249. [10.1016/s0735-1097(85)80284-9]

EXTRACARDIAC LEFT TO RIGHT SHUNT IN A PATIENT WITH BIVENTRICULAR POSTINFARCTION RUPTURE AND PSEUDOANEURYSM

MACRINA, Francesco;PAPALIA, Ugo;
1985

Abstract

A 68 year old man had a diaphragmatic myocardial infarction and 9 months later was admitted with severe congestive heart failure (functional class IV). Cardiac catheterization demonstrated a postinfarction pseudoaneurysm. Because of a massive left to right shunt (pulmonary to systemic flow ratio = 2.7), concomitant rupture of the ventricular septum was suspected. At surgery the pseudoaneurysm communicated with the right ventricle through two different orifices and with the left ventricle through another ostium. The ventricular septum was intact. Therefore, the shunt was extracardiac through the pseudoaneurysm (left ventricle----pseudoaneurysm----right ventricle). The unique combination of lesions allowed the patient to survive. The false aneurysm was excised and primary repair was performed in the orifices of the right and left ventricular walls. The postoperative course was uneventful and 10 months later the patient was in functional class I.
1985
01 Pubblicazione su rivista::01a Articolo in rivista
EXTRACARDIAC LEFT TO RIGHT SHUNT IN A PATIENT WITH BIVENTRICULAR POSTINFARCTION RUPTURE AND PSEUDOANEURYSM / Luigi, Chiariello; Macrina, Francesco; Quintilio, Caretta; F. S., Cattolica; Papalia, Ugo; Benedetto, Marino. - In: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. - ISSN 0735-1097. - 6:1(1985), pp. 246-249. [10.1016/s0735-1097(85)80284-9]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/401054
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