Left ventricular pseudoaneurysm after myocardial infarction
DOI:
https://doi.org/10.37615/retic.v6n3a8Keywords:
cardiac rupture, ventricular pseudoaneurysm, acute myocardial infarctionAbstract
Left ventricular pseudoaneurysm is a serious but rare mechanical complication of an acute myocardial infarction. The rupture of the ventricular free wall is contained by the adjacent pericardium. It requires a high degree of suspicion because usually the patient has no symptoms. Therapeutic options are repairing surgery or conservative treatment, having to assess the pros and cons of both options.
We present the case of a 72-year-old man who consulted for increasing dyspnea and orthopnea since two weeks. Primary angioplasty was performed 3 months earlier due to an acute lateral myocardial infarction. He was diagnosed with a large left ventricular pseudoaneurysm that also affected the posterior papillary muscle, causing severe mitral regurgitation. Surgery to repair the pseudoaneurysm was performed and a mitral biological prosthesis was implanted with a favorable postoperative evolution.
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Copyright (c) 2023 Elena María Hurtado Algar, Ana María Martínez Carapeto, Sara Sánchez Giralt, Antonio Enrique Gordillo Higuero
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