Case
Report |
A Surgical Case of Left Ventricular Pseudoaneurysm Complicating Myocardial Infarction in a Diabetic Patient on Dialysis |
| Masataka Yoda, MD, Mitsumasa Hata, MD,PhD, Akira Sezai, MD,PhD, Tetsuya Niino, MD, Satoshi Unosawa, MD, Shinji Wakui, MD, Tomohumi Umeda, MD, Nobuyuki Furukawa, MD, Kazuma Shimura, MD, and Kazutomo Minami, MD,PhD |
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| A 57-year-old man was hospitalized with dyspnea and heart failure. We performed an electrocardiogram, coronary angiogram, echocardiogram, and magnetic resonance imaging. He was diagnosed with a left ventricular pseudoaneurysm (i.e., heart tumor) at the posterolateral wall. Minimal contrast medium was utilized when making the diagnosis as the patient was on dialysis. We subsequently repaired the ventricular unruptured pseudoaneurysm and performed a coronary artery bypass grafting. This case presented difficulty in ascertaining the difference between a cardiac tumor and a ventricular pseudoaneurysm. (Ann Thorac Cardiovasc Surg 2007; 13: 213-215) |
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Key words: left ventricular pseudoaneurysm, coronary artery bypass grafting, magnetic resonance imaging, diabetic patient |
Department of Thoracic and Cardiovascular Surgery, Nihon University Hospital, Tokyo, Japan
Received August 24, 2006; accepted for publication October 31, 2006.
Address reprint requests to Masataka Yoda, MD: Department of Thoracic and Cardiovascular Surgery, Nihon University Hospital, 30–1 Ooyaguchi-Kamimachi, Itabashi-ku, Tokyo 173–8610, Japan. |
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