title: Left ventricular pseudoaneurysm causing myocardial infarction and cerebrovascular accident.
abstract: Although post-infarction mortality is most often due to ventricular dysrhythmias, the non-dysrhythmic causes of post-myocardial infarction death present a potential dilemma to the clinician. Non-dysrhythmic hemodynamic complications include cardiogenic shock, left ventricular free wall rupture, rupture of the interventricular septum, papillary muscle rupture, left ventricular pseudoaneurysm, and acute stroke. We present a rare case of a left ventricular pseudoaneurysm presenting with altered mental status, ultimately suspected to have caused the thromboembolic complications of acute myocardial infarction and cerebrovascular accident.
authors.affiliation: Emergency Medicine Residency Program, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
authors.forename: Dolores R
authors.initials: DR
authors.lastname: Hoey
authors.forename: Joel
authors.initials: J
authors.lastname: Kravitz
authors.forename: Paul B
authors.initials: PB
authors.lastname: Vanderbeek
authors.forename: John J
authors.initials: JJ
authors.lastname: Kelly
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*; D020521:Stroke / Q000209:etiology*