D. Maselli et al., POSTTRAUMATIC LEFT-VENTRICULAR PSEUDOANEURYSM DUE TO INTRAMYOCARDIAL DISSECTING HEMATOMA, The Annals of thoracic surgery, 64(3), 1997, pp. 830-831
A left ventricular aneurysm can develop in patients sustaining blunt c
hest injury. This condition has been attributed to myocardial contusio
n or to a direct vascular lesion leading to myocardial necrosis. We re
port the case of a pseudoaneurysm resulting from myocardial dissection
beginning from a small tear in the endocardial wall. Successful surgi
cal exclusion of the pseudoaneurysm by endoaneurysmal patch closure of
the communications between the aneurysm and the left ventricular cavi
ty is described.