{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T18:12:01Z","timestamp":1763748721237,"version":"3.28.0"},"reference-count":17,"publisher":"Texas Heart Institute Journal","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:p>Left ventricular pseudoaneurysm is a rare disease; it is defined as a ventricular rupture contained by epicardium, pericardial adhesions, or both. It most frequently occurs as a complication of acute myocardial infarction. Surgical treatment is recommended for pseudoaneurysms that are large or symptomatic and for those discovered less than 3 months after myocardial infarction.<\/jats:p>\n        <jats:p>We report our experience with 2 patients who had left ventricular pseudoaneurysms discovered less than a week after inferior myocardial infarction. Both patients were middle-aged men with right coronary occlusion in whom the diagnoses were established by echocardiography during the first week after infarction. Because both patients were clinically stable, we opted to defer surgery until scarring could facilitate correction; this decision was based on a review of the literature showing that in-hospital mortality is higher with early surgery. The patients were monitored closely in the intensive care unit and were prescribed \u03b2-blockers and vasodilators. Both patients underwent left ventricular patch reconstruction with exclusion of the pseudoaneurysm and posterior septum; both received moderate inotropic support and prophylactic intra-aortic balloon pump assistance. Their postoperative courses were uneventful.<\/jats:p>\n        <jats:p>In 5 prior reports describing 45 patients (13 with acute pseudoaneurysm [\u22642 wk after infarction] and 32 with nonacute pseudoaneurysm), in-hospital mortality was 61.5% for patients in the acute group and 15.6% for the nonacute group (<jats:italic>P<\/jats:italic> = .0066).<\/jats:p>\n        <jats:p>We recommend that clinicians consider deferring surgery for patients with stable acute left ventricular pseudoaneurysm to reduce the risks associated with early repair.<\/jats:p>","DOI":"10.14503\/thij-20-7462","type":"journal-article","created":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T17:33:34Z","timestamp":1664904814000},"source":"Crossref","is-referenced-by-count":2,"title":["Left Ventricular Pseudoaneurysms Discovered Early After Acute Myocardial Infarction: The Surgical Timing Dilemma"],"prefix":"10.14503","volume":"49","author":[{"given":"Andrei George","family":"Iosifescu","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania"},{"name":"Department of Cardiac Surgery, The Emergency Institute for Cardiovascular Diseases \u201cProf Dr C.C. Iliescu,\u201d Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toma Andrei","family":"Iosifescu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Monza Hospital, Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina Teodora","family":"Timisescu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, The Emergency Institute for Cardiovascular Diseases \u201cProf Dr C.C. Iliescu,\u201d Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena-Laura","family":"Antohi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Emergency Institute for Cardiovascular Diseases \u201cProf Dr C.C. Iliescu,\u201d Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vlad Anton","family":"Iliescu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania"},{"name":"Department of Cardiac Surgery, The Emergency Institute for Cardiovascular Diseases \u201cProf Dr C.C. Iliescu,\u201d Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i1526-6702-49-5-e207462-b1","series-title":"J Am Coll Cardiol.","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1016\/s0735-1097(98)00290-3","article-title":"Left ventricular pseudoaneurysm","volume":"32","year":"1998","unstructured":"Frances\n              C,\n            \n            \n              Romero\n              A,\n            \n            \n              Grady\n              D.\n            \n          \n          Left ventricular pseudoaneurysm.\n\t\t\t\t\tJ Am Coll Cardiol.1998;32(3):557\u2013561.\n\t\t\t\t\tdoi:10.1016\/s0735-1097(98)00290-3"},{"issue":"2","key":"i1526-6702-49-5-e207462-b2","series-title":"Ann Thorac Surg.","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/s0003-4975(00)01412-0","article-title":"Surgical treatment of acquired left ventricular pseudoaneurysms","volume":"70","year":"2000","unstructured":"Pr\u00eatre\n              R,\n            \n            \n              Linka\n              A,\n            \n            \n              Jenni\n              R,\n            \n            \n              Turina\n              MI.\n            \n          \n          Surgical treatment of acquired left ventricular pseudoaneurysms.\n\t\t\t\t\tAnn Thorac Surg.2000;70(2):553\u2013557.\n\t\t\t\t\tdoi:10.1016\/s0003-4975(00)01412-0"},{"issue":"4","key":"i1526-6702-49-5-e207462-b3","series-title":"Tex Heart Inst J.","first-page":"296","article-title":"Pseudoaneurysm of the left ventricle","volume":"21","year":"1994","unstructured":"Mackenzie\n              JW,\n            \n            \n              Lemole\n              GM.\n            \n          \n          Pseudoaneurysm of the left ventricle.\n\t\t\t\t\tTex Heart Inst J.1994;21(4):296\u2013301."},{"issue":"4","key":"i1526-6702-49-5-e207462-b4","series-title":"Ann Intern Med.","doi-asserted-by":"publisher","first-page":"299","DOI":"10.7326\/0003-4819-128-4-199802150-00010","article-title":"Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm","volume":"128","year":"1998","unstructured":"Yeo\n              TC,\n            \n            \n              Malouf\n              JF,\n            \n            \n              Oh\n              JK,\n            \n            \n              Seward\n              JB.\n            \n          \n          Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm.\n\t\t\t\t\tAnn Intern Med.1998;128(4):299\u2013305.\n\t\t\t\t\tdoi:10.7326\/0003-4819-128-4-199802150-00010"},{"issue":"6","key":"i1526-6702-49-5-e207462-b5","series-title":"Heart Surg Forum.","doi-asserted-by":"publisher","first-page":"E876","DOI":"10.1532\/HSF98.20061042","article-title":"Surgical treatment of postinfarction left ventricular pseudoaneurysms","volume":"9","year":"2006","unstructured":"Lafci\n              B,\n            \n            \n              Ozs\u00f6yler\n              I,\n            \n            \n              Emrecan\n              B,\n            \n          \n          .\n\t\t\t\t\tSurgical treatment of postinfarction left ventricular pseudoaneurysms.\n\t\t\t\t\tHeart Surg Forum.2006;9(6):E876\u2013E879.\n\t\t\t\t\tdoi:10.1532\/HSF98.20061042"},{"issue":"2","key":"i1526-6702-49-5-e207462-b6","series-title":"Ann Thorac Surg.","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1016\/j.athoracsur.2006.06.080","article-title":"Surgical treatment of postinfarction left ventricular pseudoaneurysm","volume":"83","year":"2007","unstructured":"Atik\n              FA,\n            \n            \n              Navia\n              JL,\n            \n            \n              Vega\n              PR,\n            \n          \n          .\n\t\t\t\t\tSurgical treatment of postinfarction left ventricular pseudoaneurysm.\n\t\t\t\t\tAnn Thorac Surg.2007;83(2):526\u2013531.\n\t\t\t\t\tdoi:10.1016\/j.athoracsur.2006.06.080"},{"issue":"1","key":"i1526-6702-49-5-e207462-b7","series-title":"Heart.","first-page":"7","article-title":"False aneurysm of the left ventricle","volume":"80","year":"1998","unstructured":"Treasure\n              T.\n            \n          \n          False aneurysm of the left ventricle.\n\t\t\t\t\tHeart.1998;80(1):7\u20138."},{"issue":"4","key":"i1526-6702-49-5-e207462-b8","series-title":"Ann Intern Med.","doi-asserted-by":"publisher","first-page":"430","DOI":"10.7326\/0003-4819-86-4-430","article-title":"Pseudoaneurysm of the left ventricle: an unusual echocardiographic presentation. 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Chir.2007;62(3):173\u2013177."},{"issue":"4","key":"i1526-6702-49-5-e207462-b12","series-title":"J Card Surg.","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1111\/j.1540-8191.2007.00544.x","article-title":"Surgical treatment of postinfarction pseudoaneurysms of the left ventricle","volume":"23","year":"2008","unstructured":"Narin\n              C,\n            \n            \n              Ege\n              E,\n            \n            \n              Ozkara\n              A,\n            \n          \n          .\n\t\t\t\t\tSurgical treatment of postinfarction pseudoaneurysms of the left ventricle.\n\t\t\t\t\tJ Card Surg.2008;23(4):294\u2013298.\n\t\t\t\t\tdoi:10.1111\/j.1540-8191.2007.00544.x"},{"issue":"1","key":"i1526-6702-49-5-e207462-b13","series-title":"Asian Cardiovasc Thorac Ann.","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1177\/0218492309353988","article-title":"Repair of left ventricular pseudoaneurysms","volume":"18","year":"2010","unstructured":"Fedakar\n              A,\n            \n            \n              Bugra\n              O,\n            \n            \n              Onk\n              A,\n            \n            \n              Mataraci\n              I,\n            \n            \n              Eren\n              E,\n            \n            \n              Zeybek\n              R.\n            \n          \n          Repair of left ventricular pseudoaneurysms.\n\t\t\t\t\tAsian Cardiovasc Thorac Ann.2010;18(1):39\u201343.\n\t\t\t\t\tdoi:10.1177\/0218492309353988"},{"issue":"10","key":"i1526-6702-49-5-e207462-b14","series-title":"Clin Cardiol.","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1002\/clc.4960201021","article-title":"Postinfarction left ventricular pseudoaneurysm","volume":"20","year":"1997","unstructured":"Csapo\n              K,\n            \n            \n              Voith\n              L,\n            \n            \n              Szuk\n              T,\n            \n            \n              Edes\n              I,\n            \n            \n              Kereiakes\n              DJ.\n            \n          \n          Postinfarction left ventricular pseudoaneurysm.\n\t\t\t\t\tClin Cardiol.1997;20(10):898\u2013903.\n\t\t\t\t\tdoi:10.1002\/clc.4960201021"},{"issue":"1","key":"i1526-6702-49-5-e207462-b15","series-title":"Tex Heart Inst J.","first-page":"47","article-title":"Surgical treatment of post-infarction left ventricular pseudoaneurysm: a two-decade experience","volume":"34","year":"2007","unstructured":"Eren\n              E,\n            \n            \n              Bozbuga\n              N,\n            \n            \n              Toker\n              ME,\n            \n          \n          .\n\t\t\t\t\tSurgical treatment of post-infarction left ventricular pseudoaneurysm: a two-decade experience.\n\t\t\t\t\tTex Heart Inst J.2007;34(1):47\u201351."},{"issue":"2","key":"i1526-6702-49-5-e207462-b16","series-title":"Chin Med J (Engl).","first-page":"232","article-title":"Diagnosis and surgical treatment of post-infarction left ventricular pseudoaneurysm","volume":"122","year":"2009","unstructured":"Gan\n              HL,\n            \n            \n              Zhang\n              JQ.\n            \n          \n          Diagnosis and surgical treatment of post-infarction left ventricular pseudoaneurysm.\n\t\t\t\t\tChin Med J (Engl).2009;122(2):232\u2013235."},{"key":"i1526-6702-49-5-e207462-b17","series-title":"Ann Med Surg (Lond).","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.amsu.2017.03.013","article-title":"Surgical treatment of post-infarction left ventricular pseudoaneurysm: case series highlighting various surgical strategies","volume":"16","year":"2017","unstructured":"Prifti\n              E,\n            \n            \n              Bonacchi\n              M,\n            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