Open AccessLeft ventricular pseudoaneurysm post myocardial infarction
Author(s) -
Wasil Rasool Sheikh,
Pallavi Sehgal,
Ankur Verma,
Meghna Haldar,
Sanjay Jaiswal
Publication year - 2019
Publication title -
international journal of critical illness and injury science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 12
eISSN - 2231-5004
pISSN - 2229-5151
DOI - 10.4103/ijciis.ijciis_42_18
Subject(s) - medicine , pseudoaneurysm , myocardial infarction , complication , pericardium , presentation (obstetrics) , cardiology , electrocardiography in myocardial infarction , cardiac rupture , emergency department , heart rupture , radiology , psychiatry
Left ventricular (LV) pseudoaneurysm is a rare and grave complication of acute myocardial infarction. If left undetected, it has an extremely high rate of mortality. It is complicated by a ventricular free wall rupture contained by the pericardium and is characterized by the absence of myocardial tissue in its wall. The clinical presentation of these patients is nonspecific, making the diagnosis challenging. We came across a case of LV pseudoaneurysm diagnosed by transthoracic echocardiography, but unfortunately, the patient passed away within a few hours of presentation in the emergency department. This case depicts the importance of prompt diagnosis and management of such deadly complication.