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Early surgical repair of an acute post-infarction left ventricular pseudoaneurysm complicated by second
Michael Wolf1, Paul Vermeersch, Bert Van Reet
1Department of Cardiology, Antwerp Cardiovascular Institute Middelheim, Antwerp, Belgium. michael.wolf@telenet.be
Abstract:
We present a case of an acute myocardial infarction complicated by an acute left ventricular pseudoaneurysm (LVPA). Surgical correction in the subacute phase was complicated by development of a second larger LVPA due to tearing of the sutures of the first surgical repair. Our case demonstrates the difficult decision-making regarding the timing of surgical intervention, which remains a debatable issue. The literature on diagnostics, prognosis and treatment of the LVPA is also discussed.
