Delayed traumatic left ventricular pseudoaneurysm: diagnostic challenges and surgical management.

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Rahul Bhushan, Arun Kengalapura Ramesh, Vijay Grover
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引用次数: 0

Abstract

Left ventricular (LV) pseudoaneurysms are uncommon, with traumatic cases being particularly rare. We present a case of a 26-year-old male with a delayed presentation of a traumatic LV pseudoaneurysm, 2 years post-blunt chest trauma. The patient experienced New York Heart Association (NYHA) grade 2 dyspnea, which prompted the investigation. Imaging studies, including X-ray, echocardiogram, and cardiac computed tomography (CT), revealed a large pseudoaneurysm arising from the LV apex, containing intramural thrombus. The surgical intervention involved the closure of the communicating orifice and on-lay pericardial patch placement. This case emphasizes the diagnostic challenges and successful management of traumatic LV pseudoaneurysms. Early detection through imaging and prompt surgical intervention led to a favorable outcome. This report contributes to understanding post-traumatic pseudoaneurysms and underscores the importance of a multidisciplinary approach in their management. Further studies are needed to refine diagnostic and treatment strategies for this rare condition.

延迟性外伤性左心室假性动脉瘤:诊断难题与手术治疗。
左心室假性动脉瘤并不常见,外伤性病例尤其罕见。我们为您介绍一例外伤性左心室假性动脉瘤的病例,患者 26 岁,男性,钝性胸部外伤后 2 年才出现。患者出现纽约心脏协会(NYHA)2 级呼吸困难,这促使我们进行了调查。包括X光、超声心动图和心脏计算机断层扫描(CT)在内的影像学检查显示,左心室顶端出现一个巨大的假性动脉瘤,内含壁内血栓。手术治疗包括关闭沟通口和铺设心包补片。该病例强调了外伤性左心室假性动脉瘤的诊断挑战和成功治疗。通过影像学检查及早发现并及时进行手术治疗,最终取得了良好的疗效。本报告有助于了解创伤后假性动脉瘤,并强调了多学科方法在其管理中的重要性。还需要进一步的研究来完善这种罕见疾病的诊断和治疗策略。
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来源期刊
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.20
自引率
14.30%
发文量
141
期刊介绍: The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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