Left ventricular pseudoaneurysm causing myocardial infarction and cerebrovascular accident.
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.
Hoey
Dolores R
DR
Emergency Medicine Residency Program, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
Kravitz
Joel
J
Vanderbeek
Paul B
PB
Kelly
John J
JJ
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*