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- Emir Mujanovic, Jacob Bergsland, Sevleta Avdic, Sanja Stanimirovic-Mujanovic, Tamara Kovacevic-Preradovic, and Emir Kabil.
- BH Heart Center Tuzla, Tuzla, Bosnia and Herzegovina.
- Med Arh. 2014 Jun 1; 68 (3): 215-7.
IntroductionLeft ventricular pseudoaneurysm is a rare condition because in most instances ventricular free-wall rupture leads to fatal pericardial tamponade. Rupture of the free wall of the left ventricle is a cata-strophic complication of myocardial infarction, occurring in approximately 4% of pa-tients with infarcts, resulting in immediate collapse of the patient and electromechanical dissociation. In rare cases the rupture is contained by pericardial and fibrous tissue, and the result is a pseudoaneurysm. The left ventricular pseudoaneurysm contains only pericardial and fibrous elements in its wall-no myocardial tissue. Because such aneurysms have a strong tendency to rupture, this disorder may lead to death if it is left surgically untreated.Case ReportIn this case report, we present a patient who underwent successful repair of a left ventricular pseudoaneurysm, which followed a myocardial infarction that was caused by occlusion of the left circumflex coronary artery. Although repair of left ventricular pseudoaneurysm is still a surgical challenge, it can be performed with acceptable results in most patients.
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