Images in Clinical Medicine
Traumatic Ventricular Aneurysm
N Engl J Med 1997; 336:625February 27, 1997
- Article
Figure 1 A 65-year-old man presented with recurrent ventricular tachycardia. At cardiac catheterization a calcified structure (Panel A) was visible adjacent to the pigtail catheter. The structure was also visible on a chest film obtained 20 years earlier (Panel B). Coronary angiography of the left anterior descending coronary artery (Panel C) and electrocardiography (Panel D) were performed, and a defibrillator was implanted. The patient recalled having tossed a large “dud” shell into a fire 40 years earlier. The shell then exploded, striking him in the chest and knocking him down. Several months later an electrocardiogram showed abnormalities, and he was hospitalized for a “heart attack” for two months. Coronary angiography performed 20 years later showed an aneurysm and normal coronary arteries. The patient currently has only New York Heart Association class II symptoms and minimal physical findings and is otherwise doing well.
Jens Jordan, M.D.
Rainer Dietz, M.D.
Franz Volhard Clinic, 13122 Berlin, Germany- Citing Articles (1)
Citing Articles
1
Ugur Bozlar, Ismail Yurtsever, M. Sahin Ugurel, Fatih Ors, M. Selim Nural, Mustafa Tasar. (2009) Multidetector Computed Tomography in Post-traumatic Ventricular Pseudoaneurysm. Clinical Cardiology 32:6, E71-E73
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