A huge pseudoaneurysm of the left ventricle after simple gluing of an oozing-type postinfarction rupture

Interact Cardiovasc Thorac Surg. 2003 Mar;2(1):94-6. doi: 10.1016/S1569-9293(02)00112-2.

Abstract

Objectives: Left ventricular free wall rupture is a major complication after myocardial infarction. Simple gluing for a rupture site, without a cardiopulmonary bypass, has been reported useful.

Methods: We experienced a left ventricular pseudoaneurysm, of 8 cm in size, emerging at a previous rupture site 1 year after gluing with TachoComb for an oozing-type rupture due to an acute anteroseptal myocardial infarction.

Results: The pseudoaneurysm was successfully extirpated, under a cardiopulmonary bypass, with induction of ventricular fibrillation.

Conclusions: Patients, after simple gluing for a left ventricular free wall rupture, should be carefully followed up regarding the occurrence of a pseudoaneurysm at the repair site.