Key result
Surgical repair of giant LV pseudoaneurysm and mitral valve after cardiac rupture yields incomplete recovery.
Case Report (n=1)
Giant left ventricular pseudoaneurysms carry a high risk of rupture, prompting the recommendation for urgent surgical intervention upon diagnosis.
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Rupture risk during evaluation warrants caution in giant LV pseudoaneurysms; single case leaves optimal timing unresolved.
Left ventricular pseudoaneurysm is one of the late mechanical complications of myocardial infarction, which also can be associated with cardiothoracic surgery, trauma, and, rarely, infective endocarditis. A giant pseudoaneurysm is a rare presentation. We report a patient with a giant left ventricular pseudoaneurysm probably following a silent myocardial infarction, who presented with congestive heart failure symptoms. Unfortunately, cardiac rupture and tamponade developed during diagnostic studies. The patient had surgical repair of the aneurysm and the mitral valve, but could not recover fully after surgery. We suggest urgent surgery whenever a giant left venricular pseudoaneurysm is diagnosed.
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A 2013 study conducted a case report in Giant left ventricular pseudoaneurysm (n=1). Surgical repair of the aneurysm and mitral valve was evaluated on Clinical recovery. Surgical repair of a giant left ventricular pseudoaneurysm and mitral valve was performed after the patient developed cardiac rupture and tamponade, but the patient did not fully recover.
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