Key result
LV pseudoaneurysm complicates a small inferior MI due to RCA occlusion.
Why the study?
Acquired left ventricular pseudoaneurysm is a very rare complication mostly occurring after large transmural myocardial infarction and requires diagnosis and surgical treatment.
Case Report (n=1)
Demonstrates that left ventricular pseudoaneurysm, typically associated with large transmural MIs, can also occur after a relatively small inferior myocardial infarction.
Answers are grounded in this paper and cite their sources.
LV pseudoaneurysm may complicate small inferior MI; case extends recognized spectrum beyond large transmural infarcts.
Acquired pseudoaneurysm of the left ventricle is a very rare disorder and mostly occurs after large transmural myocardial infarction (MI) with peak creatine phosphokinase-MB levels greater than 150 IU/mL. Patients developing left ventricular (LV) pseudoaneurysm usually present with angina or heart failure symptoms. Although different imaging modalities exist, coronary angiography is the gold standard for diagnosis. Surgery is the treatment of choice for LV pseudoaneurysms detected in the first months after MI. Here we report the case of a 74-year-old woman who presented with a relatively small inferior MI due to right coronary artery occlusion and complicated by LV pseudoaneurysm.
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Erdim et al. (2011) conducted a case report in Left ventricular pseudoaneurysm complicating inferior myocardial infarction (n=1). Left ventricular pseudoaneurysm was evaluated. A 74-year-old woman developed a left ventricular pseudoaneurysm complicating a relatively small inferior myocardial infarction due to right coronary artery occlusion.
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