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  • Title: [Fissuration of post-infarction left ventricular aneurysms. 2 surgically treated cases].
    Author: Ollitrault J, Langella B, Favereau X, Le Guerrier A, Rioux C, Daubert JC, Gouffault J.
    Journal: Ann Cardiol Angeiol (Paris); 1985 Apr 30; 34(4 Pt 2):297-301. PubMed ID: 4004100.
    Abstract:
    The authors report two cases of fissures of a left ventricular aneurysm diagnosed on the 8th and 21st days following an anterior myocardial infarction. In both cases, the clinical presentation consisted of a new episode of pain associated with a low cardiac output syndrome and adiastole. The diagnosis was confirmed by the simultaneous discovery of a pericardial effusion and a left ventricular aneurysm on echocardiography and cardiac catheterisation. An emergency operation, with circulatory assistance by means of intra-aortic counter-pressure, was performed and the infarcted area was excised. The post-operative course was uncomplicated in one case, but the other patient developed a false aneurysm of the left ventricle, requiring a second operation. The long term results were excellent with a follow-up of 30 months and 12 months respectively.
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