Key result
Surgical patch repair successfully treated a 65-year-old man who developed a large left ventricular pseudoaneurysm three weeks after a myocardial infarction.
Why the study?
Left ventricular pseudoaneurysms carry a high mortality rate due to expansion and rupture, making early diagnosis and treatment critical.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
This case highlights the critical importance of maintaining a high clinical suspicion and utilizing follow-up echocardiography for the early detection and surgical management of rare but fatal post-MI left ventricular pseudoaneurysms.
Left ventricular pseudoaneurysm is a ventricular free wall rupture contained within the adjacent adherent pericardium or scar tissue. Myocardial infarction (MI), cardiac surgery, and chest trauma are the common causes. The most common presenting symptoms of pseudoaneurysms are congestive heart failure, chest pain, and dyspnea, but a small percentage of patients may be asymptomatic. Early diagnosis and treatment are of prime importance because of the tendency of pseudoaneurysms to expand and rupture, with a high mortality rate, especially if left untreated. We present a case of a 65-year-old man who was found to have left ventricular pseudoaneurysm on a follow-up echocardiography within three weeks of an MI. He subsequently underwent patch repair and was discharged after medical optimization. Our case highlights the importance of maintaining a high clinical suspicion of pseudoaneurysm in a patient post-MI, as delayed diagnosis and treatment can be fatal.
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Singh et al. (2024) conducted a case report in Left ventricular pseudoaneurysm post-myocardial infarction (n=1). Surgical patch repair was evaluated on Clinical outcome (survival and repair success). Surgical patch repair successfully treated a 65-year-old man who developed a large left ventricular pseudoaneurysm three weeks after a myocardial infarction.
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