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Published on: April 25, 2014
Left Ventricular Pseudoaneurysm Following Inferior Myocardial Infarction: A Case for Conservative Management
Jonathan Ludmir1, Karan Kapoor1, Praveen George1
1University of Maryland Medical Center, Baltimore, MD, USA.
Abstract:
Left ventricular pseudoaneurysm is a rare complication of myocardial infarction that carries a high mortality rate. Although conventional wisdom suggests prompt surgical repair in order to mitigate risk of expansion and rupture, there are some data to support non-operative management in asymptomatic individuals with likely chronic pseudoaneurysms, particularly when surgical candidacy is poor. We present a case of a medically managed left ventricular pseudoaneurysm subsequent to inferior ST-segment elevation myocardial infarction with 6-month follow-up data.
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