Key result
Elective surgical revascularization definitively treats RV pseudoaneurysm complicating inferior MI after late mechanical reperfusion.
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This case highlights right ventricular pseudoaneurysm as a severe mechanical complication of late mechanical reperfusion in inferior myocardial reinfarction, which can be successfully managed with surgical revascularization.
We present a 63-year male patient with an inferior-wall myocardial reinfarction and a recent episode of gastrointerstinal bleeding, who was treated with mechanical reperfusion sixteen hours after the onset of pain, and who experienced right ventricular pseudoaneurism as a serious postinfarction mechanical complication. Elective surgical revascularisation was the definite treatment.
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A 2004 study studied this question. Elective surgical revascularization definitively treated a right ventricular pseudoaneurysm complicating an inferior myocardial reinfarction after late mechanical reperfusion.
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