Why the study?
Left ventricular pseudoaneurysm is a rare but serious clinicopathologic entity.
Case Report (n=1)
No
This case report highlights the critical role of multimodality imaging (TTE, TEE, and cardiac MRI) in diagnosing a rare anterior basal left ventricular pseudoaneurysm after single-vessel STEMI and demonstrates successful surgical patch repair with favorable 1-year outcomes.
INTRODUCTION: Left ventricular pseudoaneurysm is a rare but serious clinicopathologic entity. MATERIALS AND RESULTS: This article describes a case report of 51-year-old man who experienced recurrence of chest pain and dyspnea 4 months later after anterior ST elevation myocardial infarction of first diagonal branch. Anterior basal left ventricular pseudoaneurysm was diagnosed and successful surgical treatment was performed. One year after operation, patient has no cardiovascular events and remains in NYHA class II. CONCLUSION: Cardiac magnetic resonance should be performed, if there is a suspicion of left ventricular pseudoaneurysm from transthoracic echocardiography. Surgery is the treatment of choice in case of left ventricular pseudoaneuryms because untreated lesions carry a significantly high risk of rupture.
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Rumbinaitė et al. (2023) conducted a case report in Anterior basal left ventricular pseudoaneurysm after ST elevation myocardial infarction (n=1). Surgical resection of the pseudoaneurysm sac and ventricular defect closure using a Gore-Tex patch and autologous pericardium patch was evaluated on Clinical status (NYHA functional class, cardiovascular events) and left ventricular function (LVEF) at 1 year.
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