Long-term survival following cardiac rupture with subsequent development of left ventricular pseudoaneurysm

Cathet Cardiovasc Diagn. 1982;8(4):409-17. doi: 10.1002/ccd.1810080411.


This report describes a patient who survived rupture of the left ventricular free wall following a myocardial infarction and who then subsequently went on to develop a pseudoaneurysm. The rupture became clinically recognized when the patient developed cardiac tamponade. A large hemopericardium was evacuated by performing a thoracotomy and a pericardiotomy. Although not evident at the time of the initial catheterization, a pseudoaneurysm developed over the ensuing months. The aneurysm was initially recognized by radionuclide angiography and confirmed by left ventricular angiography at a second cardiac catheterization. The aneurysm was successfully resected, and the patient was alive and functioning normally 18 months after rupture and 12 months after aneurysmectomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiac Catheterization
  • Cardiac Tamponade / mortality
  • Cardiac Tamponade / surgery
  • Electrocardiography
  • Heart Aneurysm / mortality*
  • Heart Aneurysm / surgery
  • Heart Rupture / mortality*
  • Heart Rupture / surgery
  • Heart Ventricles* / surgery
  • Hemodynamics
  • Humans
  • Male
  • Myocardial Infarction / complications
  • Myocardial Infarction / surgery
  • Prognosis