[False aneurysm of the left ventricle. A sometimes late finding].
Left ventricular pseudo-aneurysm is a rare complication of myocardial infarction, usually of the inferior wall. It is generally a sudden event due to rupture of the heart which is contained by the pericardium. The outcome is usually rapidly fatal by secondary rupture or adiastole. The authors report a case of pseudo-aneurysm of the left ventricle measuring 3.5 cm in diameter observed following a small inferior wall myocardial infraction in a diabetic patient with a history of inferior wall myocardial infarction 38 years previously. This case is interesting because of the silent character of the pseudo-aneurysm, very probably complicating the previous infarct.
Bernard
F
F
Service de cardiologie, hôpital d'instruction des armées du Val-de-Grâce, Paris.
Monsegu
J
J
Chabrun
A
A
Plotton
C
C
Dubayle
P
P
Ollivier
J P
JP
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology; D017542:Aneurysm, Ruptured / Q000175:diagnosis; D048909:Diabetes Complications; D017809:Fatal Outcome; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications; D012008:Recurrence