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Left Ventricular Pseudoaneurysm Complicating Acute Inferoposterior Myocardial Infarction: A Case Report | Chapter 7 | New Frontiers in Medicine and Medical Research Vol. 13

A mechanical consequence of acute myocardial infarction is a left ventricular pseudoaneurysm. The goal of the study is to detect a rare consequence of myocardial infarction that has a poor prognosis and requires surgical treatment. A 60-year-old man arrived with typical ischemic chest pain, as well as low blood pressure and heart rate. A 12-lead electrocardiogram revealed atrioventricular (AV) dissocation in the inferior leads, as well as ST segment elevation. An initial echocardiogram revealed a significant pericardial effusion with no tamponade. Acute mechanical consequences of myocardial infarction as well as acute aortic dissection were investigated. The next day, echocardiogram revealed a free wall rupture of the left ventricle's infero-posterior wall with the creation of a pseudoaneurysm. The computed tomography (CT) of the chest with contrast confirmed this, as well as ruling out acute aortic dissection. The patient was scheduled for surgery as soon as possible. Angiograms revealed full blockage of the distal left circumflex artery and 70-80% discrete stenosis of the mid left anterior descending artery prior to surgery.


Author (S) Details

Vijay Yadav
Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Nepal.

Ratna Mani Gajurel
Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Nepal.

Chandra Mani Poudel
Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Nepal.

Manju Sharma
Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Nepal.

Suman Adhikari
Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Nepal.


View Book :- https://stm.bookpi.org/NFMMR-V13/article/view/3542


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