Abstract
A 70-year-old woman was referred to our hospital due to persistent epigastric pain over 2 days.Electrocardiogram showed complete atrioventricular block and ST segment elevation in leads II, III, and aVF. Emergent CAG revealed total occulusion of distal right coronary artery, and aspiration and POBA were performed, resulting in thrombolysis in myocardial infarction (TIMI) - II flow. Echocardiography revealed akinesis of left ventricular inferior wall and no shunt. However, four days later, echocardiography revealed the pseudoaneurysm and the ventricular septal perforation with LV-RV shunt, which were formed out of the shedding/dissecting infarcted myocardium of the inferior side of left ventricular basal septal wall.
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