AW: [HSF] When is an aneurysm pseudo?

[Tea Acuff]

THI is Texas Heart Institute, and the 
Texas Heart Institute Journal is its journal. 
tea


----- Original Message ----
From: Dr. Roberto Battellini <battr at medizin.uni-leipzig.de>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, February 11, 2007 3:01:54 AM
Subject: AW: [HSF] When is an aneurysm pseudo?


Tea,
what ist he THI Journal?
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Tea Acuff
Gesendet: Samstag, 10. Februar 2007 05:15
An: OpenHeart-L
Betreff: [HSF] When is an aneurysm pseudo?

Active readers of HSF may remember a discussion of an echo showing a
posterior LV aneurysm amonth or so ago. I commented that I was concerned
that it might be a pseudoaneurysm due to the marked concavity of the
aneurysm. Dr. Frater pointed out there was no neck and it had a classic look
of one of the many eponyms that I can never recall. So it had to be a true
aneurysm. Someone was going to operate on it in the near future or already
has by now without comment.

I recently came across a similar echo (as I am sure have others of you)
showing the same thing. However this aneurysm was an early postop
complication of post infarction CABG/MVR and at reoperation the LVA had no
true wall, a wide "neck", and was thus pseudo in classification, but really
a threat in vivo. This may be the only time I will be correct when I
disagree with Dr. Frater, but clearly it will not be the last time that I
question even his position although it makes me feel ignorant everytime. All
classifications of real phenomena have fuzzy borders (as do their
recognition as in this case), which is where the next understanding begins.

This example should be credited to JB Choi and others in the THI Journal
2006 (page 529). 

If the previous echo on HSF could be posted by its author with the operative
findings, it would be informative for all of us.

tea
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