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KMID : 0368119990290121357
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Korean Circulation Journal
1999 Volume.29 No. 12 p.1357 ~ p.1361
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A Case of Asymptomatic Left Ventricular Pseudoaneurysm after Myocardial Infarction
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1김광현/1Kwang Hyun Kim
1윤정한/1김장영/1이한효/1고지연/1이봉기/1유병수/1이승환/1최경훈/2홍인수/1Jung Han Yoon/1Jang Young Kim/1Han Hyo Lee/1Ji Yeon Ko/1Bong Ki Lee/1Byung Su Yoo/1Seung Hwan Lee/1Kyung Hoon Choe/2In Soo Hong
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Abstract
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Left ventricular pseudoaneurysms are result of localized rupture of myocardium. The
etiologies of pseudoaneurysm are mainly transmural myocardial infarction, myocarditis,
tuberculosis, syphilis, blunt or penestrating chest trauma and various types of cardiac
surgery. It is important to be aware of any characteristic clinical, radiographic,
echocardiographic or angiographic features, which distinguish pseudoaneurysm from true
aneurysm. Pseudoaneurysm has a relatively high incidence of cardiac rupture than true
aneurysm. Therefore, a surgical repair is mandatory in most cases of left ventricular
pseudoaneurysm. We report a case of 71-year-old male with coronary artery disease if
3 vessel and asymptomatic left ventricular pseudoaneurysm after silent myocardial
infarction.
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