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[Rupture of Left Ventricular Pseudo-false Aneurysm after Myocardial Infarction]

Akito Kuwano1, Masaru Yoshikai, Hisashi Sato

  • 1Department of Cardiovascular Surgery, Shin Koga Hospital, Kurume, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 2, 2023
PubMed

Insights

A rare ruptured left ventricular pseudo-false aneurysm occurred three weeks after percutaneous coronary intervention for myocardial infarction. Emergency surgery using a double-patch technique successfully repaired the fragile aneurysm wall.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Left ventricular pseudo-false aneurysms are rare complications following myocardial infarction.
  • Prompt diagnosis and intervention are crucial for managing ruptured aneurysms.

Observation:

  • A 73-year-old female presented with shock three weeks post-percutaneous coronary intervention for acute myocardial infarction.
  • Contrast-enhanced CT revealed a ruptured left ventricular aneurysm in the posterior wall.

Findings:

  • Emergency surgery confirmed a ruptured, fragile aneurysm wall.
  • Histopathological examination confirmed the diagnosis of a pseudo-false aneurysm, noting myocardial cells within the wall.
  • The double-patch repair technique was employed due to the aneurysm's fragility.

Implications:

  • The double-patch technique is an effective method for achieving hemostasis and preventing recurrence in fragile ruptured pseudo-false aneurysms.
  • This case highlights the importance of considering pseudo-false aneurysms in patients presenting with shock post-myocardial infarction.
  • Early surgical repair can significantly improve outcomes in cases of ruptured left ventricular aneurysms.

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