Echocardiography and cardiac CT are effective for diagnosing postinfarction left ventricular aneurysm rupture with tamponade, enabling successful emergent surgical repair.
May inform imaging choice in rare post-MI tamponade; leaves open generalizability beyond this single case.
In this case, echocardiography and cardiac computed tomography accurately diagnosed a ruptured left ventricular aneurysm. A 75-year-old male presented with acute chest pain 3 weeks after inferior wall myocardial infarction. Imaging revealed a ruptured aneurysm along the inferior left ventricular wall and an associated large-volume pericardial hematoma causing tamponade. Emergent aneurysmectomy and left ventricular wall patching were successfully performed, allowing discharge on hospital day 24.
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Painter et al. (2025) studied this question.
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