Large infero-posterior wall pseudoaneurysm of the left ventricle: an unusual presentation.
Post-myocardial infarction left ventricular pseudoaneurysm resulting from free wall rupture is a rare finding and its recognition during life is uncommon. The diagnosis is difficult since symptoms, clinical evaluation and electrocardiographic and X-ray findings are usually non-specific. We herein present a case of a pseudoaneurysm manifesting after a silent myocardial infarction and diagnosed at echocardiography in a patient who, at the time of hospitalization, had a history and clinical and laboratory findings suggestive of pulmonary embolism. The patient was successfully operated. The present report underlines the diagnostic and prognostic value of two-dimensional transthoracic echocardiography. The clinical and laboratory findings are also discussed in the light of the recent literature.
Targa
Lucio
L
Cardiology Unit, Civic Hospital, ASL 17, Este, PD, Italy. luciotarga@yahoo.it
Gaglione
Edoardo
E
Scattolin
Giuseppe
G
Formichi
Marco
M
Banzato
Alberto
A
Lucà
Maria Grazia
MG
Corbara
Federico
F
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications; D011655:Pulmonary Embolism / Q000175:diagnosis