Pseudoaneurysm following lateral wall myocardial infarction.
Pseudoaneursym (PA) formation of left ventricle (LV) following acute myocardial infarction (AMI) is uncommon and is usually believed to be associated with a grave prognosis. We describe a case of 55 year old male patient presented with AMI and heart failure with a systolic murmur later diagnosed to have PA of the lateral wall of LV on echocardiography (transthoracic and transesophageal, TTE andTEE). Cardiac MRI and coronary angiogram (CAG) were performed. CAG showed 60% lesion at origin of major obtuse marginal artery (OM1). The patientwas advised surgical treatment, but he refused and took discharge against medical advice on 27th dayof admission on stable condition.
Sinha
D P
DP
Department of Cardiology, IPGME&R, Kolkata 700020.
Saha
U
U
Mukherjee
D
D
Mitra
S
S
Panja
M
M
D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D017548:Echocardiography, Transesophageal / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007194:India; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016312:Treatment Refusal