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Ventricular Pseudoaneurysm After Myocardial Infarction: A Case Report

José Máximo1, Diana Pissarra1, José Pinheiro Torres1

  • 1Department of Cardiothoracic Surgery, Centro Hospitalar Universitário S. João, Porto, Portugal; Department of Surgery and Physiology, Faculty of Medicine, Porto University, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|July 7, 2023
PubMed

Insights

A 66-year-old woman with connective tissue disease developed a left ventricular pseudoaneurysm after acute coronary syndrome. Surgical intervention was required for this rare cardiac complication.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Internal Medicine

Background:

  • A 66-year-old female patient with a history of antiphospholipid syndrome and lupus-like mixed connective tissue disease presented with fatigue and dyspnea.
  • Her medical history included chronic anemia, smoking, dyslipidemia, and recent acute coronary syndrome complicated by postinfarction pericarditis.

Observation:

  • Coronary angiography revealed moderate disease of the left anterior descending artery and circumflex artery occlusion.
  • Echocardiography demonstrated a discontinuity in the left ventricle's lateral and posterior walls, forming a thin-walled, loculated cavity with Doppler blood flow.

Findings:

  • The echocardiographic findings were consistent with a diagnosis of left ventricular pseudoaneurysm.
  • This rare cardiac complication necessitated surgical treatment.

Implications:

  • This case highlights the importance of considering pseudoaneurysm formation in patients with complex cardiac histories, particularly after myocardial infarction and pericarditis.
  • Early diagnosis and surgical management are crucial for favorable outcomes in patients with left ventricular pseudoaneurysm.

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