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Thorac Cardiovasc Surg 2013; 61(03): 261-263
DOI: 10.1055/s-0032-1327761
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Presternal False Aneurysm Due to Osseous Arrosion of the Right Ventricle

Heinz Deschka
1   Department of Cardiothoracic Surgery, Heart and Vessel Center Bad Bevensen, Bad Bevensen, Germany
,
Matthias Machner
1   Department of Cardiothoracic Surgery, Heart and Vessel Center Bad Bevensen, Bad Bevensen, Germany
,
Gerhard Wimmer-Greinecker
1   Department of Cardiothoracic Surgery, Heart and Vessel Center Bad Bevensen, Bad Bevensen, Germany
› Author Affiliations
Further Information

Publication History

30 December 2011

02 April 2012

Publication Date:
20 December 2012 (online)

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Abstract

Right ventricular rupture after open heart surgery is a rare but severe postoperative complication. In most cases, right ventricular bleeding is associated with mediastinitis and either directly caused by inflammatory processes or iatrogenically through penetration of dehiscent sternal edges or vacuum-assisted closure therapy. We describe a case of right ventricular rupture due to osseous arrosion in a closed chest in the absence of mediastinitis which led to the creation of a massive presternal false aneurysm.

Keywords

aneurysm - myocardial injury (includes blunt penetrating and iatrogenic) - sternum - wound healing
 

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