Resumen:
Introduction: Left Ventricle Postinfarction Pseudoaneurysm (LVPS)—false aneurysm occurs after
a free-wall rupture contained by the adjacent pericardium. LVPS lacks the normal structure of the
ventricular wall and disrupts the normal chamber anatomy. However, the natural history, clinical
presentation and surgical outcome are still unclear. For that reason, it is necessary to describe the
most relevant anatomical characteristics of LVPS and the appropriate surgical strategies currently
applied. Methods: We reviewed the anatomical characteristics of several patients diagnosed of
LVPS and the surgical technique performed. In this work two different anatomical types of LVPS
are described in detail, with the surgical and structural implications for left ventricle reconstruction. Results: There are two different anatomical forms of LVPS: 1) Typical pseudoaneurysm, with a small gateway neck between the Left Ventricle and the false aneurysm chamber (Figure 1(A)); 2) Atypical pseudoaneurysm, in which the anatomical defect is bigger, without well-defined edges, extends over a large segment of infarcted and thinned myocardial tissue. In both cases, the therapeuticstargets and the surgical techniques ...