Surgical management of localized left ventricular aneurysm associated with acute myocarditis.
Jpn J Thorac Cardiovasc Surg
; 51(6): 249-52, 2003 Jun.
Article
en En
| MEDLINE
| ID: mdl-12831240
ABSTRACT
We present a case of a localized left ventricular (LV) aneurysm in a 72-year-old woman with sudden onset of severe chest pain. A left ventriculogram revealed a small saccular outpouching protruding from the apex accompanied with narrow neck connection to the ventricular cavity. Both coronary arteries and global function were normal. We preoperatively diagnosed her as having an impending rupture in the congenital LV diverticulum because no inflammatory myocardial disease was suggested by general laboratory tests. After successful surgical treatment, microscopic examination for the myocardial specimens was performed and revealed diffuse lymphocytic infiltration associated with focal necrosis of myocardium. Histological findings were consistent with those of acute lymphocytic myocarditis. Without histological confirmation, an aneurysm caused by silent myocarditis might be misdiagnosed as a diverticulum.
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Colección:
01-internacional
Asunto principal:
Aneurisma Cardíaco
/
Miocarditis
Tipo de estudio:
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Jpn J Thorac Cardiovasc Surg
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2003
Tipo del documento:
Article
País de afiliación:
Japón