title: Large infero-posterior wall pseudoaneurysm of the left ventricle: an unusual presentation.
abstract: 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.
authors.affiliation: Cardiology Unit, Civic Hospital, ASL 17, Este, PD, Italy. luciotarga@yahoo.it
authors.forename: Lucio
authors.initials: L
authors.lastname: Targa
authors.forename: Edoardo
authors.initials: E
authors.lastname: Gaglione
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Scattolin
authors.forename: Marco
authors.initials: M
authors.lastname: Formichi
authors.forename: Alberto
authors.initials: A
authors.lastname: Banzato
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Lucà
authors.forename: Federico
authors.initials: F
authors.lastname: Corbara
mesh_terms: 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