Key result
Surgical resection and patch repair of a large unruptured left ventricular pseudoaneurysm nine months post-myocardial infarction resulted in a successful and uneventful recovery.
Case Report (n=1)
No
This case demonstrates that surgical resection and patch repair of a large, unruptured left ventricular pseudoaneurysm following myocardial infarction can be successfully performed with good clinical outcomes.
Answers are grounded in this paper and cite their sources.
May support surgical consideration for late unruptured LV pseudoaneurysms; leaves open optimal timing and selection criteria.
Left ventricular (LV) pseudoaneurysm is a rare but potentially lethal complication of acute myocardial infarction (MI). We report a very rare case of a 60 year-old woman with a ruptured myocardial wall, and a non-ruptured LV pseudoaneurysm. The patient presented with acutely worsening shortness of breath and exertional dyspnea of one month's duration, and palpitation. She had an inferior wall MI nine months previously. Coronary angiography showed severe stenosis at right coronary artery. Echocardiography, LV angiography, and computed tomography angiography revealed a large pseudoaneurysm postero-inferior to the LV. Surgical resection of the pseudoaneurysm was performed and repair of the ruptured LV wall done, with good results.
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Dubey et al. (2012) conducted a case report in Unruptured left ventricular pseudoaneurysm following inferior wall myocardial infarction (n=1). Surgical resection and patch repair was evaluated on Surgical outcome. Surgical resection and patch repair of a large unruptured left ventricular pseudoaneurysm nine months post-myocardial infarction resulted in a successful and uneventful recovery.
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