title: Unruptured left ventricular pseudoaneurysm following inferior wall myocardial infarction.
abstract: Left ventricular (LV) pseudoaneurysm is a rare but potentially lethal complication of acute myocardial infarction (MI). We report a very rare case of a 60 year-old woman with a ruptured myocardial wall, and a non-ruptured LV pseudoaneurysm. The patient presented with acutely worsening shortness of breath and exertional dyspnea of one month's duration, and palpitation. She had an inferior wall MI nine months previously. Coronary angiography showed severe stenosis at right coronary artery. Echocardiography, LV angiography, and computed tomography angiography revealed a large pseudoaneurysm postero-inferior to the LV. Surgical resection of the pseudoaneurysm was performed and repair of the ruptured LV wall done, with good results.
authors.affiliation: Department of Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal. dubeylax@yahoo.com
authors.forename: Laxman
authors.initials: L
authors.lastname: Dubey
authors.forename: Rabindra
authors.initials: R
authors.lastname: Timala
authors.forename: Ridhi
authors.initials: R
authors.lastname: Adhikari
authors.forename: Sanjib
authors.initials: S
authors.lastname: Sharma
authors.forename: Mani
authors.initials: M
authors.lastname: Gautam
authors.forename: Samir
authors.initials: S
authors.lastname: Gautam
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome