Skip to main content
Log in

Giant left ventricular pseudoaneurysm following inferior wall myocardial infarction—A case report

  • Case Report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Giant left ventricular pseudoaneurysm following an inferior wall myocardial infarction (MI) is a rare complication occurring in 0.1 % of cases but is associated with 50 % mortality (Hoey et al. J Emerg Med 28:431–5, 2005). It develops when the Left Ventricular (LV) free wall ruptures following a transmural Myocardial Infarction (MI) and is contained by the adherent pericardium or scar tissue. We describe the management of a patient who had suffered a recent undiagnosed inferior wall MI and then developed a giant left ventricular pseudoaneurysm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Hoey DR, Kravitz J, Vanderbeek PB, Kelly JJ. Left ventricular pseudoaneurysm causing myocardial infarction and cerebrovascular accident. J Emerg Med. 2005;28:431–5.

    Article  PubMed  Google Scholar 

  2. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32:557–61.

    Article  CAS  PubMed  Google Scholar 

  3. Rittenhouse EA, Sauvage LR, Mansfield PB, Smith JC, Davis CC, Hall DG. False aneurysm of the left ventricle. Report of four cases and review of surgical management. Ann Surg. 1979;189:409–15.

    CAS  PubMed  Google Scholar 

  4. Sinha DP, Saha U, Mukherjee D, Mitra S, Panja M. Pseudoaneurysm following lateral wall myocardial infarction. J Assoc Physicians India. 2004;52:658–60.

    CAS  PubMed  Google Scholar 

  5. Gatewood Jr RP, Nanda NC. Differentiation of left ventricular pseudoaneurysm from true aneurysm with two dimentional echocardiography. Am J Cardiol. 1980;46:869–78.

    Article  PubMed  Google Scholar 

  6. Mallidi HR, Latter DA. Ventricular pseudoaneurysm associated with severe mitral regurgitation. Nat Clin Pract Cardiovasc Med. 2006;3:283–7.

    Article  PubMed  Google Scholar 

  7. Yeo TC, Malouf JF, Oh JK, Seward JB. Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med. 1998;128:299–305.

    Article  CAS  PubMed  Google Scholar 

  8. Atik FA, Navia JL, Vega PR, et al. Surgical treatment of postinfarction left ventricular pseudoaneurysm. Ann Thorac Surg. 2007;83:526–31.

    Article  PubMed  Google Scholar 

  9. Contuzzi R, Gatto L, Patti G, et al. Giant left ventricular pseudoaneurysm complicating an acute myocardial infarction in patient with previous cardiac surgery: a case report. J Cardiovasc Med. 2009;10:81–4.

    Article  Google Scholar 

  10. Komeda M, David TE. Surgical treatment of postinfarction false aneurysm of the left ventricle. J Thorac Cardiovasc Surg. 1993;106:1189–91.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pankaj Garg.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Garg, P., Rajashekar, P. & Airan, B. Giant left ventricular pseudoaneurysm following inferior wall myocardial infarction—A case report. Indian J Thorac Cardiovasc Surg 29, 131–133 (2013). https://doi.org/10.1007/s12055-013-0196-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-013-0196-2

Keywords

Navigation