Why the study?
Left ventricular pseudoaneurysm is an uncommon complication after transmural acute myocardial infarction with a high risk of rupture and mortality, and rupture into the mediastinum is rare and not well described.
Case Report (n=1)
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LV pseudoaneurysm can follow AMI despite normal coronaries and thrombolysis; case report leaves open incidence, mechanisms, and management.
Left ventricular pseudoaneurysm is an uncommon complication after transmural acute myocardial infarction (AMI). Here we describe the case of a 43-year-old man who presented with AMI and chest distress despite the normal appearance of his coronary artery during coronary angiography. Timely thrombolytic therapy was administered. Echocardiography, and cardiac computed tomography showed a ventricular pseudoaneurysm, and direct visualization at the time of surgery showed that it had ruptured in the mediastinum instead of the pericardium. The survival rate of patients with ventricular pseudoaneurysm rupture is low. The rupture of ventricular pseudoaneurysm in the mediastinum is rare; therefore, this case is noteworthy.
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Si et al. (2013) conducted a case report in Ruptured left ventricular pseudoaneurysm following acute myocardial infarction (n=1). Surgical repair of left ventricular pseudoaneurysm was evaluated on Clinical survival and recovery.
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