Key result
A conservative approach for an atypical postinfarction left ventricular pseudoaneurysm with a small septal defect resulted in a good clinical outcome.
Case Report (n=1)
Highlights the potential for a good clinical outcome with conservative management in an atypical case of postinfarction left ventricular pseudoaneurysm.
May support conservative management in select atypical cases; leaves open the need for prospective data before broader adoption.
We present an atypical case of postinfarction left ventricular pseudoaneurysm involving the posterobasal septal wall, with protrusion into the right ventricle, associated with a small septal defect and left-to-right shunt. In this case, a conservative approach was adopted rather than surgical management, and the patient had a good clinical outcome. Subsequent evaluation with two-dimensional colour Doppler, three-dimensional echocardiography and 16-slice computed tomography is reported.
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Maffè et al. (2008) conducted a case report in Postinfarction left ventricular pseudoaneurysm associated with a small ventricular septal defect (n=1). Conservative approach vs. Surgical management was evaluated on Clinical outcome. A conservative approach for an atypical postinfarction left ventricular pseudoaneurysm with a small septal defect resulted in a good clinical outcome.
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