Anesthetic management during surgery for left ventricular aneurysm and false aneurysm occurring in stage: A case report

Chung Hun Lee, Dong Kyu Lee, Sang Ho Lim, Heezoo Kim

Research output: Contribution to journalArticle

Abstract

Left ventricular aneurysm (LVA) and false aneurysm are complications of acute myocardial infarction, trauma, and cardiac surgery. Left ventricular false aneurysm (LVFA) is a particularly catastrophic complication owing to its high propensity for rupture. Surgical resection should be considered for LVFA occurring within three months after myocardial infarction or development of congestive heart failure. In this report, we describe a case of acute heart failure with LVA and LVFA occurring in stage as a complication of myocardial infarction in a 55-year-old man. The patient was also at risk of brain ischemia due to abnormal vessel status and a previous cerebrovascular accident with left-sided weakness. Successful perioperative anesthetic management was achieved by focusing on maintaining marginal upper normal blood pressure to ensure cerebral perfusion and to reduce the risk of false aneurysm rupture.

Original languageEnglish
Pages (from-to)518-522
Number of pages5
JournalKorean journal of anesthesiology
Volume69
Issue number5
DOIs
Publication statusPublished - 2016 Oct

Keywords

  • False aneurysm
  • Left ventricular aneurysm
  • Myocardial infarction

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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