title: [Silent left ventricular pseudoaneurysm and rupture to a second pseudoaneurysm].
abstract: Left ventricular pseudoaneurysm is usually associated with myocardial infarction and ventricular wall rupture, although it can also be associated with other pathological conditions. Rupture causes shock, and death if not repaired urgently. We report the very rare case of a man with coronary lesions that resulted in a silent myocardial infarction with rupture of the myocardial wall and the subsequent development of a large, posterolateral, left ventricular pseudoaneurysm. This was followed by rupture of the primary pseudoaneurysm and the consequent creation of a second pseudoaneurysm, which finally resulted in shock and death.
authors.affiliation: Unidad de Cardiología, Hospital San Pedro de Alcántara, Cáceres, Spain. gmarcosg@teleline.es
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Marcos-Gómez
authors.forename: Antonio
authors.initials: A
authors.lastname: Merchán-Herrera
authors.forename: José J
authors.initials: JJ
authors.lastname: Gómez-Barrado
authors.forename: Francisco
authors.initials: F
authors.lastname: de la Concepción-Palomino
authors.forename: Jorge
authors.initials: J
authors.lastname: Vega-Fernández
authors.forename: José R
authors.initials: JR
authors.lastname: López-Mínguez
mesh_terms: D017541:Aneurysm, False / Q000209:etiology*; D017542:Aneurysm, Ruptured / Q000209:etiology*; D006322:Heart Aneurysm / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012422:Rupture, Spontaneous