This case highlights a rare presentation of a giant posterobasal pseudoaneurysm following an inferior wall myocardial infarction, diagnosed via echocardiography.
Medical management enabled discharge in this rare giant post-MI pseudoaneurysm; leaves open optimal strategy and long-term outcomes.
Left ventricular pseudoaneurysm although a rare complication following acute myocardial infarction, is associated with high mortality if left untreated. We report a case of a 55-year-old male patient who developed a giant pseudoaneurysm in the posterobasal region of the left ventricle following inferior wall myocardial infarction. Our patient presented 9 days after an acute coronary event with episodic chest pain and worsening dyspnea. Twelve lead electrocardiogram revealed Q waves in inferior leads and echocardiography showed a giant pseudoaneurysm in the posterobasal region of the left ventricle. He was managed medically and discharged on personal request.
No takes yet. Share an insight, caveat, or question.
Saran et al. (2018) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: