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When the Heart Holds Its Own Rupture: A Case Report of a Clinically Silent Left Ventricular Pseudoaneurysm Following
Amal Hsain1, Khadija Dekkak2, Sara Ahchouch2
1Cardiology Center, Mohammed V Military Teaching Hospital, Mohammed V University, Rabat, MAR.
Abstract:
Left ventricular pseudoaneurysm is a rare but potentially fatal mechanical complication of acute myocardial infarction, often associated with a non-specific clinical presentation and a high risk of rupture. We report a case of a patient who developed a left ventricular pseudoaneurysm following an acute myocardial infarction that initially remained undiagnosed. The lesion was incidentally identified during follow-up imaging. Multimodal imaging confirmed the diagnosis and guided urgent surgical management, resulting in a favorable outcome. Left ventricular pseudoaneurysm remains a diagnostic challenge due to its non-specific presentation. Early recognition using multimodal imaging and timely surgical intervention are essential to prevent catastrophic outcomes.
Insights
Left ventricular pseudoaneurysm, a rare complication of myocardial infarction, can be fatal if undiagnosed. Early recognition via multimodal imaging and prompt surgery are crucial for favorable outcomes in these challenging cases.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Left ventricular pseudoaneurysm is a rare, potentially fatal mechanical complication of acute myocardial infarction.
- It often presents non-specifically and carries a high risk of rupture.
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