title: "Mushroom cloud": a giant left ventricular pseudoaneurysm after a myocardial infarction due to myocardial bridging--a case report.
abstract: 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.
authors.affiliation: Department of Cardiology, Hospital Santa Cruz, Av, Prof, Dr, Reynaldo dos Santos, 2795 Carnaxide, Portugal. renatagomes50@hotmail.com
authors.forename: Renata
authors.initials: R
authors.lastname: Gomes
authors.forename: Maria João
authors.initials: MJ
authors.lastname: Andrade
authors.forename: Miguel
authors.initials: M
authors.lastname: Santos
authors.forename: Sónia
authors.initials: S
authors.lastname: Lima
authors.forename: Raquel A
authors.initials: RA
authors.lastname: Gouveia
authors.forename: Manuel M
authors.initials: MM
authors.lastname: Ferreira
authors.forename: José Aniceto
authors.initials: JA
authors.lastname: Silva
mesh_terms: 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*
chemical_list: D015415:Biomarkers