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Published on: July 7, 2013
Long term survival and late repair of massive cardiac pseudoaneurysm
British Heart Journal
|June 1, 1987
Insights
A left ventricular pseudoaneurysm, a rare complication of myocardial infarction, was successfully closed surgically nine years after its formation. Echocardiography aided in diagnosing this rare cardiac defect.
Area of Science:
- Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Background:
- Myocardial infarction can lead to rare but severe complications.
- Left ventricular pseudoaneurysms are life-threatening consequences of myocardial rupture.
Observation:
- A middle-aged man developed a massive left ventricular pseudoaneurysm following an acute myocardial infarction.
- The pseudoaneurysm persisted for nine years before intervention.
Findings:
- Cross-sectional echocardiography effectively identified the ventricular defect.
- Surgical closure of the pseudoaneurysm was successfully performed nine years post-infarction.
Implications:
- This case highlights the potential for delayed diagnosis and successful surgical management of left ventricular pseudoaneurysms.
- Echocardiography is a crucial tool for diagnosing such rare cardiac abnormalities.
- Long-term survival is possible with timely surgical intervention for pseudoaneurysms.
Abstract:
Myocardial rupture of the left ventricle after an acute myocardial infarction resulted in the formation of a massive pseudoaneurysm in a middle aged man. Cross sectional echocardiography was useful in identifying the defect which was successfully closed at operation nine years after its formation.

