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- acute coronary syndrome
- heart failure
- myocardial infarction
- mechanical complication
A man in his 50s presented with progressive worsening of dyspnoea after a recent inferior wall myocardial infarction. His vitals were stable and examination revealed a pansystolic murmur at the apex. The patient had undergone a coronary angiography prior to referral which showed complete obstruction of the distal left circumflex artery.
The transthoracic echocardiogram is shown in figure 1 and video 1.
What is the diagnosis?
Left ventricular pseudoaneurysm
Ventricular septal rupture
Free wall rupture
The echocardiogram shows a small defect in the inferior wall of the left ventricle (LV) communicating with a sac-like structure. Colour Doppler across the defect shows …
Contributors All authors contributed to design, draft preparation and review of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.