Why the study?
Postinfarction ventricular free-wall rupture leading to pseudoaneurysm is a rare but high-risk complication after AMI with limited contemporary data on diagnosis and treatment.
Case Report (n=1)
No
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This case highlights that giant post-infarction left ventricular pseudoaneurysms can present late with non-specific symptoms and be successfully managed surgically using the modified Cooley technique.
Postinfarction ventricular free-wall rupture is a rare mechanical complication after acute myocardial infarction (AMI). When the rupture is contained by epicardial clots or pericardial adhesions, it commonly leads to the formation of a pseudoaneurysm (PSA). With the development of revascularization therapies the incidence of PSA has decreased dramatically with occurrence about 0.2-0.5% of AMI cases [1]. PSA carry a high risk of rupture, with studies estimating risk between 30% and 45% [2]. We present a case of a 53-year-old woman with a giant pseudoaneurysm secondary to a prior AMI of unknown duration.
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Baev et al. (2026) conducted a case report in Left ventricular pseudoaneurysm secondary to acute myocardial infarction (n=1). Surgical resection and endocavitary patch plasty (modified Cooley technique) was evaluated.
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