A Rare Case of True and Pseudoaneurysm of Left Ventricular Wall and Incremental Value of Myocardial Contrast

Abstract

Coexistence of left ventricular true and pseudoaneurysm together is although rare but can be a possible sequelae of ventricular remodeling postmyocardial infarction. True aneurysm can be suspected on the basis of persistent ST-segment elevation on electrocardiogram several weeks after myocardial infarction while pseudoaneurysm can only be diagnosed after a comprehensive echocardiography examination. We describe a rare case of true aneurysm of the left ventricle apex and pseudoaneurysm of midanterior septum wall confirmed by myocardial contrast echocardiography.