Why the study?
Pseudoaneurysm is an exceptionally rare complication of transmural myocardial infarction whose diagnosis primarily relies on imaging.
Highlights the importance of clinical examination, specifically auscultation of a continuous murmur, in raising suspicion for rare mechanical complications like left ventricular pseudoaneurysm post-myocardial infarction.
May prompt echocardiography for continuous murmurs post-MI; case report leaves open generalizability.
A bstract The development of a pseudoaneurysm as a complication of transmural myocardial infarction is an exceptionally rare occurrence. Its diagnosis primarily relies on imaging, with echocardiography serving as the most commonly used modality. We present a case in which the presence of a continuous, to-and-fro murmur raised clinical suspicion for an intracardiac defect in a patient with ischemic heart disease, and ultimately, this led to the diagnosis of a left ventricular pseudoaneurysm.
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Majumdar et al. (2025) studied this question.
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