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 PapaioannouMed 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
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 DeclaredDOI: 10.12659/MSM.942960
Med Sci Monit 2023; 29:e942960
In Press
30 Nov 2023 : Review article
Decoding the Neurological Sequelae of General Anesthesia: A ReviewMed 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
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
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
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