Clinicians should be aware of left ventricular pseudoaneurysm as a late, potentially fatal, but surgically curable complication of myocardial infarction.
LV pseudoaneurysm warrants consideration in post-MI pericarditis; this case leaves open questions on incidence and screening.
As is evident from our case and others, post-myocardial infarction pericarditis with the formation of pericardial adhesions creates a suitable milieu for left ventricular pseudoaneurysm. Although the conditions for pseudoaneurysm formation are rarely met, the clinician should be aware of this diagnosis, even long after myocardial infarction, because of its associated mortality and also because it is surgically curable.
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Jabi et al. (1989) studied this question.
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