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 (Cardiol J 2012; 19, 5: 539-542)

Unruptured left ventricular pseudoaneurysm after silent myocardial infarction with severe mitral valve regurgitation

“…Mitral failure associated with pseudoaneurysm is mainly caused by three factors: mitral ring dilatation, restriction of the posterior mitral leaf let due to ventricular dilatation, and loss of contraction of the ventricular wall. [11,12] Repair of the pseudoaneurysm, as in this case, may support the restoration of ventricular geometry and reestablish mitral valve function.…”

A large pseudoaneurysm of the left cardiac ventricle in a 57-year-old patient after urgent coronary artery bypass grafting and surgical mitral valve replacement due to acute myocardial infarction

“…False aneurysms are characterized by a relatively high risk of rupture; therefore, urgent surgical treatment is recommended. The operative risk in this case is lower than the risk associated with further conservative treatment [4–8]. The established methods of examination aimed at forming a diagnosis include transthoracic/transesophageal echocardiography, magnetic resonance tomography, ventriculography, computed tomography, and radioisotope imaging [5, 6, 8].…”

“…The operative risk in this case is lower than the risk associated with further conservative treatment [4–8]. The established methods of examination aimed at forming a diagnosis include transthoracic/transesophageal echocardiography, magnetic resonance tomography, ventriculography, computed tomography, and radioisotope imaging [5, 6, 8]. Echocardiography is a useful form of preliminary examination, enabling the assessment of myocardial injury or dyskinesia as well as the maximal dimensions of the aneurysm's entrance and sac.…”

Giant left ventricular pseudoaneurysm following acute inferior wall myocardial infarction presenting with acute left ventricular failure: a rare complication

“…Echocardiography shows a bounded echo-free space with the orifice of a narrow neck communicating with the LV2 with a ratio between aneurysm orifice dimension and its cavity diameter of <0.5, whereas a value of >0.9 suggests a true aneurysm of the LV. In Doppler echocardiography, there is a turbulent blood flow through the pseudoaneurysm orifice and laminar one in true aneurysms.…”