Abstract
BackgroundPseudoaneurysm of inferior wall of the left ventricle is an uncommon complication of myocardial infarction with high mortality.Case presentationWe report the case of a 63-year-old Tunisian man, diagnosed with a thrombosed left ventricular pseudoaneurysm and a pericardial effusion after 1 week of angina.ConclusionsLeft ventricular pseudoaneurysm is a serious complication of myocardial infarction that has atypical presentations. Diagnosis is generally established by transthoracic echocardiography but confirmed by magnetic resonance imaging. Urgent surgery is the treatment choice given the risk of embolization and rupture.
Highlights
In ST-segment elevation myocardial infarction, time is muscle
Case presentation We report the case of a smoking, diabetic, hypertensive 63-year-old Tunisian man, who consulted the emergency department for pericardial syndrome
Transthoracic echocardiography revealed a huge aneurysm (33 x 19 mm) in the basal segment of the inferior and inferolateral wall of the left ventricle and a reduced systolic function (35%) without significant mitral regurgitation (Fig. 2a, b) (Additional files 1, 2: video 1a, b)
Summary
Left ventricular pseudoaneurysm is a serious complication of myocardial infarction that has atypical presentations. Diagnosis is generally established by transthoracic echocardiography but confirmed by magnetic resonance imaging. Urgent surgery is the treatment choice given the risk of embolization and rupture
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