Abstract
Early post-acute myocardial infarction (AMI) pericarditis, pericardial effusion with or without cardiac tamponade, and late post-MI pericarditis (Dressler syndrome), are the major pericardial complications after AMI. It is quite rare and estimated to be only about 0.1% in AMI patients according to a recent report, so it is easily neglected or misdiagnosed and may have tragic result to patient. Clinical features of this post-AMI complication include fever, chest pain, pericarditis and pleurisy occurring 2 to 3 weeks after AMI. Dressler syndrome is rarely associated with left ventricular aneurysm. Contrast enhanced magnetic resonance and echocardiography play important roles in diagnosis of left ventricle aneurysm. We report a 54-year-old male heavy labor worker who had asymptomatic, severe coronary artery disease, complicated with silent myocardial infarction, which resulted in large left ventricular aneurysm, and also systolic heart failure was noted. Patient was diagnosed to have Dressler syndrome after his second cardiology clinic follow-up. He received coronary angiography which revealed triple vessel disease with total occlusion of left anterior descending artery, and a giant left ventricular aneurysm was found. He received surgical intervention with Batista method and followed-up uneventfully at the cardiology clinic.
Highlights
How to cite this paper: Leong, I.-L., et al (2014) An Extraordinary Case of Silent Extensive Anterior Wall Myocardial Infarction Complicated with Giant Left Ventricular Aneurysm and Dressler Syndrome
Silent extensive anterior wall myocardial infarction (MI) complicated with giant left ventricular aneurysm (LVA) was quite rare; and this large area silent MI further complicated with Dressler syndrome was even rarer, and hitherto unreported in the previous literatures
Dressler syndrome is the early post-acute myocardial infarction (AMI) pericarditis, pericardial effusion with or without cardiac tamponade, and late post-MI pericarditis are the major pericardial complications after AMI. It is a rare entity, which was estimated to be about 0.1% in AMI patients according to a recent report [1]. Landmark studies such as the Gruppo Italiano per lo Studio Della Sopravvivenza nell’ Infarto Miocardico and Thrombolysis and Angioplasty in Myocardial Infarction study groups showed that early pericarditis after AMI occurred in approximately 5% to 7% of patients treated with thrombolytics [2] [3]
Summary
How to cite this paper: Leong, I.-L., et al (2014) An Extraordinary Case of Silent Extensive Anterior Wall Myocardial Infarction Complicated with Giant Left Ventricular Aneurysm and Dressler Syndrome. Silent myocardial infarction (MI) is not a rare entity in patients with coronary artery disease (CAD).
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