Left Ventricular Pseudo-aneurysm with Ventricular Septal Rupture Due to Anterior ST-segment Elevation Myocardial Infarction

Figures

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  Figure 1.. A: An electrocardiogram showed normal sinus rhythm with ST elevation in leads V1-4 and II, III, and aVf and ST depression in leads I and aVL. B: Chest X-ray in the supine position showed cardiomegaly and mild pulmonary congestion.

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  Figure 2.. A and B: Echocardiography revealed ventricular septum rupture (white arrows). C and D: Echocardiography revealed pseudo-aneurysm of the LV.

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  Figure 3.. A and B: Coronary CT revealed the patency of a saphenous vein graft to the right posterolateral branch and a left internal thoracic artery graft to the ramus intermedius. C: Coronary CT revealed pseudo-aneurysm of the LV. D: The orifice to aneurysm diameter ratio was 0.40 (5.2 mm/13 mm).

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  Figure 4.. A and B: Ninety-nine percent stenosis was observed in the mid left anterior descending artery (white arrows). C: Significant stenosis of 90% of the diameter of the distal right coronary artery and right posterior descending artery was observed (black arrows). D: No significant stenosis was observed in the left circumflex artery.

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  Figure 5.. A: LV pseudo-aneurysm was found in the apex, which was longitudinally incised (white arrow). B: Ventricular septal perforation (10 mm) was found in the anterior infarcted septum (black arrow).