Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 November 2005

A case of left ventricular pseudoaneurysm with long survival and congestive heart failure as first presentation. Case report and review of the literature.

Nikolaos Varvarigos, Efstratios Koletsis, Athanasios Zafiropoulos, Harilaos Papaioannou, Harilaos Papaioannou

Med Sci Monit 2005; 11(11): CS69-73 :: ID: 430399

Abstract

Background: Left ventricular pseudoaneurysm is a rare and extremely fatalcomplication of acute myocardial infarction. It is defined as a rupture of the myocardium contained byepicardial adhesions or the epicardial wall. Case Report: A 76-year-old woman was brought to our departmentsuffering from acute pulmonary edema and left ventricular pseudoaneurysm. This condition was caused byan unrecognized high lateral myocardial infarction, which was diagnosed and treated conventionally. Fouryears after the diagnosis was made, the patient is in good physical condition. The presentation, imagingfindings, and the prognosis of such cases are briefly discussed. We have especially focused on the imagingtechniques currently used to confirm the diagnosis and on the fact that although the patient refusedto have an operation (most appropriate for the diagnosis), she still lives in good physical condition(NYHA II). Conclusions: We report a case of post infarction pseudoaneurysm along with review of the literatureon the subject. We discuss the role of computed tomography and magnetic resonance imaging to ascertainthe diagnosis and the algorithm of therapeutic management. Based on current literature, we believe thatsurgical resection is the treatment of choice for patients in whom a pseudoaneurysm is detected withinthree months after myocardial infarction, for patients with other indications for cardiac surgery, andfor symptomatic patients with ventricular tachycardia or recurrent embolism related to the pseudoaneurysm.Optimum medical therapy is the only alternative in those high-risk patients who refuse surgical operation.

Keywords: Aneurysm, False - radiography, Heart Aneurysm - radiography, Heart Failure - radiography, Magnetic Resonance Imaging, Myocardial Infarction - complications, Prognosis, Tomography, X-Ray Computed, Ventricular Dysfunction, Left - radiography

Add Comment 0 Comments

778 8

Editorial

01 November 2023 : Editorial  

Editorial: Factors Driving New Variants of SARS-CoV-2, Immune Escape, and Resistance to Antiviral Treatments as the End of the COVID-19 Pandemic is Declared

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville,

DOI: 10.12659/MSM.942960

Med Sci Monit 2023; 29:e942960

0:00

In Press

30 Nov 2023 : Review article  

Decoding the Neurological Sequelae of General Anesthesia: A Review

Med Sci Monit In Press; DOI: 10.12659/MSM.942740  

30 Nov 2023 : Clinical Research  

Enhanced Pain Relief and Muscle Growth in Individuals with Low Back Instability: The Impact of Blood Flow R...

Med Sci Monit In Press; DOI: 10.12659/MSM.942508  

29 Nov 2023 : Clinical Research  

Comparative Analysis of Intramedullary Nail versus Plate Fixation for Fibula Fracture in Supination Externa...

Med Sci Monit In Press; DOI: 10.12659/MSM.941909  

29 Nov 2023 : Clinical Research  

Impact of COVID-19 on Academic Burnout among Medical College Students in China: Findings from a Web-Based S...

Med Sci Monit In Press; DOI: 10.12659/MSM.942317  

Most Viewed Current Articles

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788

0:00

30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750