Post-traumatic left ventricular aneurysm in a 14-year-old child: diagnostics and surgical techniques of elimination
Pseudoaneurysm of the left ventricle is a very rare but dangerous pathology, it is a space filled with blood outside the heart cavity, which does not have a natural wall, which has a communication with the ventricle. Such aneurysms can occur as a result of myocardial infarction, cardiac surgery, infectious pericarditis or as a result of iatrogenic myocardial perforation and are extremely rare in children. The main complications of left ventricular aneurysm are thromboembolism, ventricular arrhythmia, congestive heart failure and refractory angina. Surgery is the main method of treatment, since without surgery, the frequency of aneurysm rupture is up to 45% during the first year after its occurrence. But even with surgical treatment, the mortality rate can reach from 1 to 20%. The succes-sful elimination of a left ventricular aneurysm resulting from blunt trauma to the heart was first described in 1965 by R.S. Veeragandham.