Abstract
ST-segment elevation myocardial infarction (STEMI) remains the most frequent cause of death worldwide. Nowadays, its management has been revised with the aim of rapid revascularization to avoid its fatal complications. Among its complications, mechanical complications, especially left ventricular aneurysm, have a high risk of death by rupture as illustrated in this case. We report the case of a 63-year-old male, who was referred to our tertiary hospital for shortness of breath and worsening chest pain evolving for 3 days after a delayed consultation. The electrocardiography (EKG) showed sequelae of anterior myocardial infarction with echocardiography of a giant apical aneurysm of the left ventricle. The evolution was rapidly marked by hemodynamic failure and cardiac arrest following rupture of the aneurysm. Until now, there is no proven benefit of aneurysm surgery yet, hence the importance of its prevention by urgent revascularization of any STEMI.
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