Year-end Sale % OFF 
Abstract
SummaryCurrent guidelines do not advise follow-up echocardiograms after ST-segment elevation myocardial infarction (STEMI), unless the left ventricular ejection fraction is ≤40%. We present an interesting case of left ventricular pseudo-aneurysm–diagnosed 6 months after index STEMI presentation. Follow-up echocardiogram was performed in her case, due to jaw pain during routine haemodialysis. The patient was successfully treated with percutaneous closure device. This case raises the question of whether echo follow-up should be routinely advised after STEMI–even in those with minimal cardiac symptoms.
Highlights
Follow-up echocardiograms are performed after an ST elevation myocardial infarction (STEMI) only if the left ventricular systolic function is severely impaired
We present a case that highlights the need to consider follow-up echocardiogram even when the left ventricular systolic function is only mild to moderately impaired, if the patient has any cardiac symptoms
Echocardiogram performed 2 months after the second admission surprisingly showed a basal inferior wall pseudo-aneurysm, with myocardial rupture sealed by pericardium (Fig. 1)
Summary
Current guidelines do not advise follow-up echocardiograms after ST-segment elevation myocardial infarction (STEMI), unless the left ventricular ejection fraction is ≤40%. We present an interesting case of left ventricular pseudo-aneurysm – diagnosed 6 months after index STEMI presentation. Follow-up echocardiogram was performed in her case, due to jaw pain during routine haemodialysis. The patient was successfully treated with percutaneous closure device. This case raises the question of whether echo follow-up should be routinely advised after STEMI – even in those with minimal cardiac symptoms. Patients with left ventricular pseudo-aneurysm can be haemodynamically stable and may not always be in extremis
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
