Heart 1998;80:94-97 ( July )
Case report
Unruptured left ventricular pseudoaneurysm following myocardial
infarction
Department of
Internal Medicine, Division of Cardiology, Chang Gung Memorial
Hospital, 222 Mai-Chin Road, Keelung 204, Taiwan
Correspondence to: Dr Hung.
Accepted for publication 11 February 1998
A 73 year old man developed a left ventricular
pseudoaneurysm following acute myocardial infarction. Coronary
angiography showed triple vessel disease with total occlusion of the
right coronary artery. On left ventriculography, a serpentine-like
pseudoaneurysm was demonstrated that originated from the posterobasal
wall of the left ventricle and extended to the right ventricular free wall. He underwent coronary artery bypass surgery with no plication of
the pseudoaneurysm. An organised thrombus was also found within the
cavity of the pseudoaneurysm. He was doing well approximately eight
months after the operation. The prognosis might be determined by the
organised thrombus, the serpentine-like structure of pseudoaneurysm, the coronary revascularisation, and the vigorous medical management.
© 1998 by Heart
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