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Echocardiographic progression of a subepicardial aneurysm after inferior myocardial infarction

Takaharu Hayashi1, Minoru Ichikawa, Chikao Yutani

  • 1Cardiovascular Division, Kawachi General Hospital, 1-31 Yokomakura, Higashi-Osaka, Osaka 578-0955, Japan. takaharu@kawati.or.jp

Journal of Cardiology
|September 29, 2009
PubMed

Insights

A rare case of ventricular pseudoaneurysm developed after myocardial infarction treatment. Surgical intervention was successful in resecting the aneurysm.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • A 62-year-old man experienced chest oppression, diagnosed as inferior myocardial infarction.
  • Treatment involved percutaneous coronary intervention with stenting for the right coronary artery occlusion.

Observation:

  • Four months post-intervention, echocardiography revealed a large left ventricular pseudoaneurysm.
  • The patient was initially asymptomatic and declined surgery, with serial monitoring showing significant aneurysm growth.

Findings:

  • The pseudoaneurysm enlarged to 48 mm diameter with a 22 mm orifice over seven months.
  • Surgical resection of the aneurysm and repair with a pericardial patch were performed.
  • Pathological examination confirmed myocardial elements in the aneurysm wall and thrombus.

Implications:

  • This case highlights a rare complication of myocardial infarction treatment.
  • Ventricular pseudoaneurysms require careful monitoring and timely surgical consideration.
  • Successful surgical management of ventricular pseudoaneurysms is feasible.

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