Eur J Cardiothorac Surg 2004;25:644
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
A rare case of a large right ventricular aneurysm
P. Dedeilias,
I. Kouerinis,
E. Apostolakis,
I. Bellenis*
Department of Cardiothoracic Surgery, Evangelismos Hospital, King George 24, 11635 Athens, Greece
Received 12 October 2003;
received in revised form 17 November 2003;
accepted 19 November 2003.
* Corresponding author. Tel.: +210-720-1506; fax: +210-722-4449
e-mail: ionbellenis{at}hotmail.com
Key Words: Aneurysm • Right ventricle • Etiology • Prognosis • Treatment
A 64-year-old woman suffering from NYHA III angina and premature ventricular ectopics underwent catheter studies and transthoracic echocardiography, which revealed triple vessel disease and a large post-infract right ventricular aneurysm (Fig. 1)
. Intraoperatively, we performed reconstruction of ventricular cavity using a patch and three graft revascularization, with excellent outcome 6 months following surgery.
View larger version (59K):
[in this window]
[in a new window]
|
Fig. 1. (a) View of the right ventricular aneurysm (AN) through the median sternotomy. Such aneurysms may occur in association with arrythmogenic right ventricular cardiomyopathy, ischemic, traumatic and inflammatory events, or as a congenital anomaly. (b) The aneurysm has been opened. Notice that the wall of the aneurysm at the right side is not as thick as usually observed at the left ventricle. Although the incidence of sudden death (rupture) is not altered in post-infracted patients they should be resected as soon as the diagnosis has been set since they affect the overall mortality.
|
|
