A Surgically Treated Case of Subepicardial Aneurysm of the Right Ventricle

(The Sakakibara Heart Institute of Okayama, Okayama, Japan and Bordeaux UniversityII, Haut-Leveque Cardiologic Hospital–, Bordeaux, France)

Masamichi Ozawa Masahiko Kuinose Hidenori Yoshitaka
Kentaro Tamura* Dai Une
A 76-year-old woman who had undergone 5 surgical procedures and chemotherapy for retro-peritoneal liposarcoma was found to have a right ventricular aneurysm by echocardiography, magnetic resonance imaging (MRI) and right ventricular cineangiogram. We decided that it was a false aneurysm because of communication with the right ventricle through a small orifice. At operation, aneurysm was not strongly adherent, so we closed the small orifice with a purse-string suture, and covered it with part of the wall of the aneurysm. Subepicardial aneurysm of the right ventricle was diagnosed by operative and pathological findings. The postoperative course was uneventful and she was discharged on the 15th postoperative day.
@Jpn. J. Cardiovasc. Surg. 37: 193-196 (2008)