"Mushroom cloud": a giant left ventricular pseudoaneurysm after a myocardial infarction due to myocardial bridging--a case report.
Left ventricular pseudoaneurysm is an uncommon complication after transmural myocardial infarction, occurring when a free wall rupture is contained by adhesions of the overlying pericardium preventing acute tamponade. In this report, an unusual case of a 61 year-old male with a giant apical left ventricular pseudoaneurysm after an unnoticed myocardial infarction is presented. On coronary angiogram myocardial bridging of the distal left anterior descending artery was judged to be the infarct related lesion. The echocardiographic diagnosis allowed for a timely surgical intervention which resulted in the patient's full recovery.
Gomes
Renata
R
Department of Cardiology, Hospital Santa Cruz, Av, Prof, Dr, Reynaldo dos Santos, 2795 Carnaxide, Portugal. renatagomes50@hotmail.com
Andrade
Maria João
MJ
Santos
Miguel
M
Lima
Sónia
S
Gouveia
Raquel A
RA
Ferreira
Manuel M
MM
Silva
José Aniceto
JA
D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology*; D015415:Biomarkers / Q000097:blood; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054084:Myocardial Bridging / Q000150:complications* / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000150:complications*
D015415:Biomarkers