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Unruptured left ventricular pseudoaneurysm following myocardial infarction
M J Hung1, C H Wang, W J Cherng
1Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Heart (British Cardiac Society)
|October 9, 1998
Summary
A 73-year-old man with myocardial infarction developed a left ventricular pseudoaneurysm. Successful coronary artery bypass surgery and medical management led to a good prognosis.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Acute myocardial infarction can lead to serious complications.
- Left ventricular pseudoaneurysms are rare but life-threatening consequences of myocardial infarction.
Observation:
- A 73-year-old male presented with a serpentine-like left ventricular pseudoaneurysm extending to the right ventricle post-myocardial infarction.
- Coronary angiography revealed triple vessel disease with complete right coronary artery occlusion.
Findings:
- The pseudoaneurysm contained an organized thrombus.
- Coronary artery bypass surgery was performed without pseudoaneurysm plication.
- The patient showed positive outcomes eight months post-surgery.
Implications:
- Prognosis appears linked to thrombus organization, pseudoaneurysm morphology, successful revascularization, and medical management.
- This case highlights a viable surgical approach for complex ventricular pseudoaneurysms.